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Individual
JONATHAN MARTIN
Active
Individual
JONATHAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37585
TN
208M00000X
Hospitalist Physician
37585
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886502
—
TN
01
—
4066540
BCBS
TN
01
—
7688492
AETNA
TN
01
—
P00078148
PALMETTO GBA-RR MCR
TN
Enumeration date
01/04/2006
Last updated
08/03/2020
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