Individual
DR. DAVID CHRISTOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 HOSPITAL DR STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
PO BOX 700, SEWANEE, TN 37375-0700
(931) 598-5648
(931) 598-0778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1376
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063817625
GROUP NPI
TN
01
—
1477516953
GROUP NPI
TN
05
—
3306765
—
TN
01
—
DO1376
MEDICAL LICENSE
TN
Enumeration date
05/24/2005
Last updated
03/07/2023
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