Organization
MARTIN ENTERPRISES,INC.
Active
Other names
william l. martin II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L MARTIN D.O. (PHYSICIAN)
(865) 993-4135
Entity
Organization
Contact information
Practice address
1030 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4135
(865) 993-4108
Mailing address
1030 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4135
(865) 993-4108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101578
BLACK LUNG
TN
01
—
3092338
BCBS
TN
05
—
3304152
—
TN
01
—
60054
AETNA
TN
01
—
81121
CARITEN
TN
01
—
8951851
CIGNA
TN
Enumeration date
05/30/2007
Last updated
08/22/2020
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