Individual
CORNELIUS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 S BERKSHIRE CV, CORDOVA, TN 38018-6786
(901) 356-6750
Mailing address
353 S BERKSHIRE CV, CORDOVA, TN 38018-6786
(901) 356-6750
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
117420728
TN
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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