Individual
MARTA JEAN WAYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
111 W STONE DR STE 200, KINGSPORT, TN 37660-6028
(423) 723-2030
(423) 247-4110
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1541
TN
207R00000X
Internal Medicine Physician
Primary
DO01541
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307865
—
TN
01
—
4066478
BCBS
TN
01
—
TN01R2
JOHN DEERE
TN
Enumeration date
04/22/2006
Last updated
01/26/2026
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