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Individual
DR. CRYSTAL DENISE MARTIN
Active
Individual
DR. CRYSTAL DENISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42964
KY
207Q00000X
Family Medicine Physician
MD46507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4278615
BCBS
TN
05
—
7100157060
—
KY
Enumeration date
07/03/2008
Last updated
10/17/2025
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