Individual
DR. MARIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2051B HAMILL RD, SUITE 108, HIXSON, TN 37343-4085
(423) 499-8877
(423) 499-8085
Mailing address
PO BOX 22696, CHATTANOOGA, TN 37422-2696
(423) 499-8877
(423) 499-8085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000691743B
—
GA
05
—
3077317
—
TN
01
—
P00338526
RAILROAD MEDICARE
TN
Enumeration date
02/02/2006
Last updated
04/27/2009
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