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NPI Code Detail

MEDICARE: RAYMOND S. MARTIN III M.D.

MEDICARE: RAYMOND S. MARTIN III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianTN18058TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679571129
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND S. MARTIN III M.D.
Provider Business Mailing Address
First Line : 356 24TH AVE N
Second Line : SUITE 300
City : NASHVILLE
State : TN
Zip : 37203-1514
Country : US
Telephone Number : 615-292-5722
Fax Number : 615-346-6225
Provider Business Practice Location Address
First Line : 4230 HARDING RD
Second Line : SUITE 525
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-385-1547
Fax Number : 615-297-9161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 09/12/2011

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