Provider Information for 1467988980
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ZACHARY PAUL MARTIN LCSW
Sex: Male
NPI: 1467988980
Last Updated: 2022-03-21
Certification Date: 2022-03-21
Certification Date: 2022-03-21
Details
| Name | Value | ||||||||||||||||
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| NPI | 1467988980 | ||||||||||||||||
| Enumeration Date | 2017-05-03 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 10025 INVESTMENT DR STE 100 KNOXVILLE, TN 37932-2665 United States Phone: 865-606-6110 | Fax:865-312-6442 | ||||||||||||||||
| Primary Practice Address | 10025 INVESTMENT DR STE 100 KNOXVILLE, TN 37932-2665 United States Phone: 865-606-6110 | Fax:865-312-6442 | ||||||||||||||||
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