Individual
DR. MARTIN EDWARD LITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204229
VA
207R00000X
Internal Medicine Physician
Primary
2928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689938052
—
NC
05
—
1689938052
—
VA
05
—
Q017014
—
TN
Enumeration date
06/29/2012
Last updated
02/15/2017
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