| Martin Family Medical Llc | |
|
19806 Alberta St Oneida TN 37841-3307 | |
| (423) 223-4889 | |
| (423) 214-1004 |
| Full Name | Martin Family Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19806 Alberta St, Oneida, Tennessee |
| Authorized Official Name and Position | Catherine Stroud Martin (OWNER) |
| Authorized Official Contact | 4232153753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Family Medical Llc Po Box 5755 Oneida TN 37841-1355 Ph: (423) 215-3753 | Martin Family Medical Llc 19806 Alberta St Oneida TN 37841-3307 Ph: (423) 223-4889 |
| NPI Number | 1497592661 |
|---|---|
| Provider Enumeration Date | 07/13/2024 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 9638619042 |
|---|---|
| Medicare Enrollment ID | O20240912001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497592661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Catherine Stroud Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356349906 PECOS PAC ID: 5294795118 Enrollment ID: I20110428000662 |
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