Individual
MR. MARTIN J FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1816 N WASHINGTON ST, SUITE 100, TULLAHOMA, TN 37388-2222
(931) 455-8676
(931) 455-9983
Mailing address
1816 N WASHINGTON ST, SUITE 100, TULLAHOMA, TN 37388-2222
(931) 455-8676
(931) 455-9983
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD26680
TN
208100000X
Physical Medicine & Rehabilitation Physician
MD26680
TN
2086S0105X
Surgery of the Hand (Surgery) Physician
MD26680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0940299
UNITED HEALTH CARE
—
01
—
10070490
AMERIGROUP
TN
01
—
1536928
UMWA
—
01
—
200034386
RAILROAD MEDICARE
—
01
—
3093522
BLUE CROSS
TN
05
—
3098802
—
TN
01
—
5541521
CIGNA
—
01
—
621738887002
PRUDENTIAL
—
01
—
682362
AETNA
—
01
—
TN0102
AMERICHOICE
TN
Enumeration date
09/01/2005
Last updated
04/07/2011
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