Provider Demographics
NPI:1619983798
Name:MARTIN, FRANK FOSTER (MD FACP)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:FOSTER
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 N SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4115
Mailing Address - Country:US
Mailing Address - Phone:803-776-4000
Mailing Address - Fax:803-938-9905
Practice Address - Street 1:407 N SALEM AVE
Practice Address - Street 2:VA OUTPATIENT CLINIC
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4115
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:803-938-9905
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC04813207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC004813OtherSC LIC NUMBER
SC048139Medicaid
SC048139Medicaid
SCD182540281Medicare ID - Type Unspecified
SC048139Medicaid