Martin Pediatric And Adolescent Clinic, Pc

LBN: Martin Pediatric And Adolescent Clinic, Pc
Martin Pediatric And Adolescent Clinic, Pc is an health care organization with primary practice located at 142 Mount Pelia Rd , Martin TN 38237-3812. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Martin Pediatric And Adolescent Clinic, Pc can be contacted via phone (731) 587-9542, or through Roberts, Barbara via phone (731) 587-9542.

Contact Information

Primary practice address
142 Mount Pelia Rd Martin TN 38237-3812
Phone: (731) 587-9542
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Barbara
Phone: (731) 587-9542

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD 18562 Tennessee

Profile Details

NPI number 1649314501
LBN Legal business name Martin Pediatric And Adolescent Clinic, Pc
DBA Doing business as
Authorized official Roberts, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 11th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649314501 NPPES
Tennessee MEDICAID 3727836

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