Individual
STANLEY R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
231 NORTHGATE DR, SUITE 106, MC MINNVILLE, TN 37110-1426
(931) 473-1986
(931) 473-1334
Mailing address
231 NORTHGATE DR, SUITE 106, MC MINNVILLE, TN 37110-1426
(931) 473-1986
(931) 473-1334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1185T
TN
Other
Enumeration date
07/12/2006
Last updated
09/25/2013
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