| Doctor Name: | DR. MARTHA MONSON SRIBNICK |
| NPI Number: | 1255422184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 8140 |
| Business Practice Address: | 4500 Stuart Street Moncrief Army Community Hosptial/credentials Fort Jackson, SC - 292075720 |
| Business Phone Number: | 8037512618 |
| Business Fax Number: | 8037512689 |
| Mailing Address: | 4500 Stuart Street, Moncrief Army Community Hosptial, Attn: Mcxl-pq (cred) FORT JACKSON |
| State: | SC |
| Postal Code: | 292075720 |
| Phone Number: | 8037512618 |
| Fax Number: | 8037512689 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 8140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |