National Provider Identifier Database

MARTIN MEDICAL CENTER PC
Rural Health


Contact Information

MARTIN MEDICAL CENTER, P.C.
117 KENNEDY DR
MARTIN, TN38237-3309
Phone: 731-587-9511
Fax: 877-309-6416
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for MARTIN MEDICAL CENTER, P.C.

NPI Number 1093768988
Legal business name
LBN
MARTIN MEDICAL CENTER, P.C.
Authorized official TAMMY HAZLEWOOD - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/19/2006
Last updated 02/26/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3371015
  • TN Other: 2006779 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MARTIN MEDICAL CENTER, P.C.

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