Individual
MR. JOHN PAUL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 ANDREW ST, ONEIDA, TN 37841-6296
(423) 569-3762
(423) 569-4909
Mailing address
PO BOX 4908, ONEIDA, TN 37841-4908
(423) 569-3762
(423) 569-4909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26733
TN
207V00000X
Obstetrics & Gynecology Physician
26733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094640
—
TN
05
—
64713324
—
KY
Enumeration date
07/08/2005
Last updated
09/02/2016
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