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1831478411
JOSEPH MOODY MARTIN
BRISTOL, TN
NPI
1831478411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 15877)
Enumeration Date
2011-08-12
Last Update Date
2017-12-11
Business Address
JOSEPH MOODY MARTIN FNP
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-282-1480
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Mailing Address
JOSEPH MOODY MARTIN FNP
PO BOX 4018
JOHNSON CITY, TN 37602-4018
Phone number: 423-282-1480
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