Individual
MIRIAH ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(423) 636-7301
Mailing address
732 STAYMAN RD, ROANOKE, VA 24019-8309
(540) 588-9375
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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