Individual
JASON B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 HARDING PIKE, SUITE 400, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 386-2399
Mailing address
104 WOODMONT BLVD, SUITE LL50, NASHVILLE, TN 37205-2245
(615) 386-2361
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
093449
OH
207RP1001X
Pulmonary Disease Physician
093449
OH
207RP1001X
Pulmonary Disease Physician
Primary
38713
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3333497
—
TN
01
—
6008922
BCBST
TN
05
—
6411903500
—
KY
01
—
P00395865
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
06/24/2015
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