Healthcare Provider Details

I. General information

NPI: 1356349906
Provider Name (Legal Business Name): CATHERINE STROUD MARTIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19806 ALBERTA ST
ONEIDA TN
37841-3307
US

IV. Provider business mailing address

PO BOX 5755
ONEIDA TN
37841-1355
US

V. Phone/Fax

Practice location:
  • Phone: 423-215-3753
  • Fax: 423-214-1004
Mailing address:
  • Phone: 423-215-3753
  • Fax: 423-214-1004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO1096
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: