Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 9601496 | NC |
N | 208600000X | Surgeon | 9601496 | NC |
Y | 2086S0129X | Vascular Surgeon | 23865 | SC |
N | 2086S0129X | Vascular Surgeon | 9601496 | NC |
NPI | 1154380350 |
---|---|
Provider Name | Dr. Martin Vincent Taormina |
First Address | Rock Hill, SC 29732-4103 |
Second Address | Rock Hill, SC 29732-4103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 07/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
GP3758 | (05) | SC |