Individual
SHELLEY MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1596 HIGHWAY 33 SOUTH, NEW TAZEWELL, TN 37825
(423) 626-8271
(423) 626-0688
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-8182
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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