Provider Demographics
NPI:1467992511
Name:MARTIN, CHLOE HINSON (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHLOE
Middle Name:HINSON
Last Name:MARTIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-380-2000
Mailing Address - Fax:843-380-2014
Practice Address - Street 1:355 S GEORGETOWN HWY
Practice Address - Street 2:
Practice Address - City:JOHNSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29555-8083
Practice Address - Country:US
Practice Address - Phone:843-380-2000
Practice Address - Fax:843-380-2014
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20711363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP4518Medicaid