Individual
TRENT WAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1296 UNION UNIVERSITY DR STE B, JACKSON, TN 38305-3714
(731) 513-5755
Mailing address
113 CORTEZ CV, DYERSBURG, TN 38024-8490
(731) 610-0858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3468
TN
Other
Enumeration date
07/05/2018
Last updated
07/26/2021
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