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Organization
MARTIN HEALTH
Active
Organization
MARTIN HEALTH
Active
Other names
West Tennessee Medical Group Primary Care Martin
Organization subpart
No
Provider details
NPI number
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
143 KENNEDY DRIVE, MARTIN, TN 38237-3309
(731) 587-5321
(731) 588-3229
Mailing address
143 KENNEDY DRIVE, MARTIN, TN 38237-3309
(731) 587-5321
(731) 588-3229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
0000000126
TN
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/15/2017
Last updated
10/03/2022
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