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NPI Code Detail

MEDICARE: DR. DUY-THU P. D. MARTIN M.D.

MEDICARE:  DR. DUY-THU P. D. MARTIN  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
1207V00000XObstetrics & Gynecology Physician38553TN

General Provider Information

NPI Number : 1912973066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUY-THU P. D. MARTIN M.D.
Provider Business Mailing Address
First Line : 501 19TH ST STE 304
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-1839
Country : US
Telephone Number : 865-546-6721
Fax Number : 865-546-6724
Provider Business Practice Location Address
First Line : 501 19TH ST STE 304
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-1839
Country : US
Telephone Number : 865-546-6721
Fax Number : 865-546-6724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 12/10/2019

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Directions to “ DR. DUY-THU P. D. MARTIN M.D.” Practice Location

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