Organization
MARTIN CHILDREN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON PIERCE PAGE APN (OWNER)
(731) 587-5138
Entity
Organization
Contact information
Practice address
130 COMMONS DR, MARTIN, TN 38237-3879
(731) 587-5138
(731) 587-0552
Mailing address
130 COMMONS DR, MARTIN, TN 38237-3879
(731) 587-5138
(731) 587-0552
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
12549
TN
363LP0200X
Pediatric Nurse Practitioner
12549
TN
Other
Enumeration date
03/22/2010
Last updated
05/09/2017
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