Individual
DR. HEATHER M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
102 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3916
(865) 457-4702
(865) 457-7178
Mailing address
102 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3916
(865) 457-4702
(865) 457-7178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
003877
GA
207Q00000X
Family Medicine Physician
1073
WI
207Q00000X
Family Medicine Physician
12480
ND
207Q00000X
Family Medicine Physician
Primary
3334
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17482
—
ND
05
—
Q033050
—
TN
Enumeration date
06/30/2009
Last updated
08/15/2023
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