Organization
JAMES W MARTIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L MARTIN (OFFICE MANAGER/ FNP)
(901) 476-7371
Entity
Organization
Contact information
Practice address
1995 HIGHWAY 51 S, SUITE 101, COVINGTON, TN 38019-3635
(901) 476-7371
(901) 476-7372
Mailing address
1995 HIGHWAY 51 S, SUITE 101, COVINGTON, TN 38019-3635
(901) 476-7371
(901) 476-7372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34810
TN
207Q00000X
Family Medicine Physician
34955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3729265
MEDICARE ID
TN
Enumeration date
02/05/2008
Last updated
03/07/2023
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