IndividualActive
Jesse Martin, DO
NPI 1932668787 · Vascular & Interventional Radiology Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1932668787
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 93625 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 692-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 678904
Dallas, TX 75267-8904
Registry dates
- Enumerated
- 2019-03-19
- Last updated
- 2025-07-06
- Certified
- 2025-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.