Organization
SERGE MARTIN ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE B MARTIN O.D. (PRESIDENT)
(615) 896-0082
Entity
Organization
Contact information
Practice address
2361 MEMORIAL BLVD, MURFREESBORO, TN 37129-5108
(615) 896-0082
(615) 896-9551
Mailing address
2361 MEMORIAL BLVD, MURFREESBORO, TN 37129-5108
(615) 896-0082
(615) 896-9551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356515159
GROUP NPI
TN
Enumeration date
04/14/2008
Last updated
10/24/2008
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