Individual
MARTHA Y WALKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1578 N GREENHILL RD, MOUNT JULIET, TN 37122-2454
(615) 509-3366
(615) 773-4502
Mailing address
1578 N GREENHILL RD, MOUNT JULIET, TN 37122-2454
(615) 509-3366
(615) 773-4502
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
DO 0573
TN
2083X0100X
Occupational Medicine Physician
H2087 DO
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4212957
BLUE CROSS BLUE SHIELD OF TN
TN
Enumeration date
03/29/2007
Last updated
02/28/2011
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