Individual
TANNER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-0001
(901) 287-6756
Mailing address
MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-0001
(901) 287-6756
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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