Organization
MARTIN CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SWAW (DIRECTOR/AUTHORIZED OFFICIAL)
(615) 778-8076
Entity
Organization
Contact information
Practice address
143 KENNEDY DR, SUITE A, MARTIN, TN 38237-3309
(731) 587-5321
(731) 588-3229
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8536
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
TN
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3711712
—
TN
01
—
4049793
BCBS
TN
Enumeration date
05/27/2005
Last updated
07/25/2016
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