| NPI | 1689757866 |
|---|---|
| Doing Business As | MITCHELL D. MARTIN, MD |
| Entity Type | Organization |
| Authorized Contact | MITCHELL D MARTIN Chief Manager 865-637-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN 705448) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-07-14 |