Individual
JOHN MARTIN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7715 WOLF RIVER BLVD, GERMANTOWN, TN 38138
(901) 328-6031
(901) 328-6035
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
(901) 227-8581
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56106
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2014
Last updated
06/25/2018
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