Colquitt, Mark Alan

Colquitt, Mark Alan is an individual health care provider with primary practice located at 1819 W Clinch Ave Suite 200, Knoxville TN 37916-2434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Colquitt, Mark Alan can be contacted via phone (865) 984-3413.

Contact Information

Primary practice address
1819 W Clinch Ave Suite 200 Knoxville TN 37916-2434
Phone: (865) 984-3413
Fax: (865) 212-5597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD 20663 Tennessee

Profile Details

NPI number 1841307295
LBN Legal business name Colquitt, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 6th, 2017 - about 8 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 1841307295 NPPES
Tennessee MEDICAID 3084319

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