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Organization
MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
Active
Organization
MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ROBERTS (OFFICE MANAGER)
(731) 587-9542
Entity
Organization
Contact information
Practice address
142 MOUNT PELIA RD, MARTIN, TN 38237-3812
(731) 587-9542
Mailing address
142 MOUNT PELIA RD, MARTIN, TN 38237-3812
(731) 587-9542
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD 18562
TN
Other
Enumeration date
02/16/2007
Last updated
07/11/2007
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