Fleming, Martin Douglas

Fleming, Martin Douglas is an individual health care provider with primary practice located at 7705 Poplar Ave Ste 220 , Germantown TN 38138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fleming, Martin Douglas can be contacted via phone (901) 516-6792.

Contact Information

Primary practice address
7705 Poplar Ave Ste 220 Germantown TN 38138
Fax: (901) 266-6422
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24419 Tennessee

Profile Details

NPI number 1578673836
LBN Legal business name Fleming, Martin Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 12th, 2019 - about 7 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 1578673836 NPPES
Tennessee MEDICAID 3075978
Tennessee Other 020049703

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