Individual
WILLIAM BROCK MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
159 COURT SQ, HUNTINGDON, TN 38344-3709
(731) 535-3205
(731) 535-3203
Mailing address
159 COURT SQ, HUNTINGDON, TN 38344-3709
(731) 535-3205
(731) 535-3203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2459
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003247
RAILROAD MEDICARE PALMETTO GBA
TN
05
—
1512419
—
TN
Enumeration date
11/08/2010
Last updated
07/21/2022
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