Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1990 | TN |
N | 111NN0400X | Neurology | 1990 | TN |
NPI | 1134181720 |
---|---|
Provider Name | Dr. Carole Kathleen Martin |
First Address | Hendersonville, TN 37075-3591 |
Second Address | Hendersonville, TN 37075-3503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4111979 | (05) | TN |
U94077 | (02) | TN |