Organization
BANE MEDICAL MANAGEMENT LLC
Active
Other names
ABC Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BANE (OWNER)
(845) 820-0057
Entity
Organization
Contact information
Practice address
415 S LINDELL ST, MARTIN, TN 38237-2442
(731) 255-5138
Mailing address
118 HIDDEN HILL CV, MARTIN, TN 38237-1000
(845) 820-0057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/27/2023
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