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Individual

DR. MARY KAREN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S., D.C.

Contact information

Practice address
7464 TCHULAHOMA RD, SOUTHAVEN, MS 38671-9249
(662) 349-2650
(662) 349-4495
Mailing address
PO BOX 225, SOUTHAVEN, MS 38671-0003
(662) 349-2650
(662) 349-4495

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
661
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0053873
BLUE CROSS
TN
01
4350358
AETNA
MS
01
8732762003
CIGNA
MS
Enumeration date
10/02/2006
Last updated
02/13/2019
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