Individual
CATHERINE LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1314 UNIVERSITY AVE, SEWANEE, TN 37375-2336
(931) 598-5648
(931) 598-9984
Mailing address
515 CUMBERLAND ST W, COWAN, TN 37318-3107
(931) 598-5648
(931) 598-9984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1155
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1155
LICENSE NUMBER
TN
Enumeration date
05/31/2005
Last updated
03/07/2014
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