Individual
MR. STEVEN T MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2743 SUMMER OAKS DR, BARTLETT, TN 38134-2858
(901) 371-0200
(901) 888-1146
Mailing address
PO BOX 202, MEMPHIS, TN 38101-0202
(901) 757-2345
(901) 757-9065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
RN116514
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4120365
BLUE CROSS
SD
Enumeration date
06/16/2006
Last updated
07/08/2007
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