Individual
MS. ALICIA CAROL MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
VANDERBILT SPORTS MEDICINE,, 215 HAWKS RD. SUITE 12, MARTIN, TN 38237
(731) 587-6299
(731) 587-5392
Mailing address
417 LACKEY RD, MARTIN, TN 38237-5727
(731) 414-7531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000857
TN
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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