Individual
DR. JEFFREY WAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
Mailing address
14 MARKET SQ STE 201, KNOXVILLE, TN 37902-1424
(865) 919-9696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49856
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4040054
BLUE CROSS
TN
Enumeration date
07/10/2006
Last updated
03/11/2014
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