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Contact Information

SHAKYRA T MARTIN
1799 EDGEFIELD RD STE A
NORTH AUGUSTA, SC29860-5306
 Phone: 803-341-8343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Health & Wellness Coach

171400000X
 

Kinesiotherapist

226300000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for SHAKYRA T MARTIN · (Female)

NPI # 1366014854
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2021
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • SC Medicaid 302611321
  • SC Medicaid 850000309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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