Provider Demographics
NPI:1326819483
Name:MARTIN, ASHLEY HOLMES (DNAP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:HOLMES
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DNAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-3836
Mailing Address - Country:US
Mailing Address - Phone:803-429-3179
Mailing Address - Fax:
Practice Address - Street 1:7 INDEPENDENCE PT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4566
Practice Address - Country:US
Practice Address - Phone:803-216-3753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC245412163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse