Individual
MRS. AMY RUTH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 E 3RD ST, ERLANGER MEDICAL CENTER, CHATTANOOGA, TN 37403-2147
(423) 778-7000
Mailing address
6308 LEVI RD, HIXSON, TN 37343-2624
(615) 275-6464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000046865
TN
207P00000X
Emergency Medicine Physician
P2296
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302353305
—
TX
01
—
302353306
CSHCN
TX
Enumeration date
06/12/2009
Last updated
08/05/2016
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