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Organization

STANLEY R MARTIN, O.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY R MARTIN O.D. (OWNER)
(931) 473-1986
Entity
Organization

Contact information

Practice address
231 NORTHGATE DR STE 106, MC MINNVILLE, TN 37110-1436
(931) 473-1986
(931) 473-1334
Mailing address
231 NORTHGATE DR STE 106, MC MINNVILLE, TN 37110-1436
(931) 473-1986
(931) 473-1334

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
02/26/2008
Last updated
09/25/2013
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