Individual
JOHN RYAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2016-00772
NC
207X00000X
Orthopaedic Surgery Physician
Primary
63061
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
63061
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366763344
—
NC
05
—
NC2740
—
SC
Enumeration date
06/14/2010
Last updated
01/17/2024
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