Individual
CLAY MICHAEL MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1509 E REELFOOT AVE, UNION CITY, TN 38261-5845
(741) 886-8662
Mailing address
PO BOX 1132, MARTIN, TN 38237-1132
(731) 695-0554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28845
TN
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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