Martin Family Healthcare LLC.
Organization Active NPI Medical Physician Assistant · Red Boiling Springs, TN
NPI 1295985992 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1295985992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA0000001100 (TN)
- Legal business name
- MARTIN FAMILY HEALTHCARE LLC.
- Practice address
- 120 Market St.
Red Boiling Springs, TN 37150 - Phone
- (615) 699-4035
- Fax
- (615) 699-4055
- NPI assigned
- Sep 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Andrea L. Martin, PA-C
- Title
- Physician Asst./Owner
- Phone
- (615) 699-4035
Practitioners 1
-
Andrea L. Martin-Willie, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | PA0000001100 | TN | Yes |
Addresses
Primary practice location
120 Market St.
Red Boiling Springs, TN 37150
Mailing address
P.O. Box 425
Red Boiling Springs, TN 37150
Phone (615) 699-4035
Other providers in Red Boiling Springs, TN
- Jessica Faylene McGee Hagan
- Benita Gail Hudson
- Lanny R Hudson
- Longevity Clinical LTC Associates of Tennessee, PLLC
- Macon Care Center LLC
- Eric Justin McGriff
- Amanda Lynn Mitchell
- Palace RBS LLC
- Red Boiling Springs TN Opco LLC
- Phillip Scott Ross
All providers in Red Boiling Springs, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.