Individual
DR. MARTIN L. BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7102 DOCTORS OFFICE TOWER, 2200 CHILDREN'S WAY, NASHVILLE, TN 37232-0001
(615) 936-1050
(615) 936-1046
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD21201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07578394
—
MS
05
—
154178001
—
AR
05
—
3891672
—
TN
Enumeration date
05/20/2006
Last updated
03/22/2022
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