Individual
MICHAEL GARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2006013748
MO
207RH0003X
Hematology & Oncology Physician
20639
MS
207RH0003X
Hematology & Oncology Physician
Primary
44541
TN
207RH0003X
Hematology & Oncology Physician
M-2504
GU
207RH0003X
Hematology & Oncology Physician
MTL-2025-015
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209015
—
MS
05
—
1513165
—
TN
05
—
1588671085
—
MO
05
—
177683001
—
AR
Enumeration date
08/01/2006
Last updated
10/09/2025
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