44D2068906 CLIA NUMBER - WEST TN MEDICAL GROUP WOMENS HEALTH MARTIN

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Laboratory Demographics

CLIA Number: 44D2068906

Facility Name: WEST TN MEDICAL GROUP WOMENS HEALTH MARTIN

Facility Address:
143 KENNEDY DRIVE
MARTIN, TN
ZIP 38237
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Facility Phone Number: 731 587-5321

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1295223279

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	44D2068906
LAB Type	Physician Office
Facility Name	WEST TN MEDICAL GROUP WOMENS HEALTH MARTIN
Street	143 KENNEDY DRIVE
City	MARTIN
State	TN
ZIP	38237
Phone	731 587-5321
CertificateType	3
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024