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Individual

DR. MARWIN J MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4522
(865) 545-8000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BM2767272
TN
207P00000X
Emergency Medicine Physician
Primary
J3543
TX
207P00000X
Emergency Medicine Physician
MD25894
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3085766
TN
01
3135998
BLUE CROSS
TN
Enumeration date
06/05/2006
Last updated
06/08/2021
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