Blakely, Martin L.

Blakely, Martin L. is an individual health care provider with primary practice located at 7102 Doctors Office Tower 2200 Children'S Way, Nashville TN 37232-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Blakely, Martin L. can be contacted via phone (615) 936-1050.

Contact Information

Primary practice address
7102 Doctors Office Tower 2200 Children'S Way Nashville TN 37232-0001
Phone: (615) 936-1050
Fax: (615) 936-1046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD21201 Tennessee

Profile Details

NPI number 1558315861
LBN Legal business name Blakely, Martin L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558315861 NPPES
Mississippi MEDICAID 07578394
Mississippi MEDICAID 154178001
Mississippi MEDICAID 3891672

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