| Martin Enterprises,inc. | |
|
1030 Main St Bean Station TN 37708-4257 | |
| (865) 993-4135 | |
| (865) 993-4108 |
| Full Name | Martin Enterprises,inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1030 Main St, Bean Station, Tennessee |
| Authorized Official Name and Position | William L Martin (PHYSICIAN) |
| Authorized Official Contact | 8659934135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Enterprises,inc. 1030 Main St Bean Station TN 37708-4257 Ph: (865) 993-4135 | Martin Enterprises,inc. 1030 Main St Bean Station TN 37708-4257 Ph: (865) 993-4135 |
| NPI Number | 1922209782 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922209782 | NPI | - | NPPES |
| 3092338 | Other | TN | BCBS |
| 101578 | Other | TN | BLACK LUNG |
| 81121 | Other | TN | CARITEN |
| 3304152 | Medicaid | TN | |
| 8951851 | Other | TN | CIGNA |
| 60054 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1101 (Tennessee) | Primary |
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