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Individual

DR. MARTIN VERNON ACREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 EASTMORELAND AVE, SUITE 150, MEMPHIS, TN 38104-3519
(901) 725-0648
(901) 725-1037
Mailing address
PO BOX 1000 DEPT 297, MEMPHIS, TN 38148-0001
(901) 620-6162
(901) 756-5564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17041
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124807
MS
01
080157230
RAILROAD MEDICARE
TN
01
140371
UNITED HEALTHCARE
05
1726664
LA
01
2676016
CIGNA
05
3021985
TN
01
3145801
BCBS
TN
01
96962
BCBS
AR
Enumeration date
07/05/2005
Last updated
09/28/2011
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