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1164417713
FREDERICK A MARTIN
BRISTOL, TN
NPI
1164417713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD35685)
Enumeration Date
2005-09-20
Last Update Date
2016-05-31
Business Address
FREDERICK A MARTIN MD
1958 W STATE ST
BRISTOL, TN 37620-1940
Phone number: 423-574-7575
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Mailing Address
FREDERICK A MARTIN MD
1958 W STATE ST
BRISTOL, TN 37620-1940
Phone number: 423-574-7575
Copy
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