Individual
RODNEY A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1286 PEABODY AVE, MEMPHIS, TN 38104-3550
(901) 276-6000
(901) 276-4000
Mailing address
1286 PEABODY AVE, MEMPHIS, TN 38104-3550
(901) 276-6000
(901) 276-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122741001
—
AR
01
—
162842
BCBS
TN
05
—
200141276
—
MO
05
—
3066241
—
TN
05
—
Q019276
—
TN
Enumeration date
04/27/2006
Last updated
01/13/2025
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