Individual
ISAAC LEE MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MRC CRC
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
(423) 232-2644
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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