Harriman, Mark S

Harriman, Mark S is an individual health care provider with primary practice located at 3045 Kate Bond Rd , Bartlett TN 38133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Harriman, Mark S can be contacted via phone (901) 381-4664.

Contact Information

Primary practice address
3045 Kate Bond Rd Bartlett TN 38133
Phone: (901) 381-4664
Fax: (901) 373-0809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD0000019879 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 19879 Tennessee

Profile Details

NPI number 1851387351
LBN Legal business name Harriman, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jan 20th, 2021 - about 5 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 1851387351 NPPES
Tennessee Other 00760205 RR MEDICARE
Tennessee Other 0151308 RR MEDICARE
Tennessee Other 40MD019879 RR MEDICARE
Tennessee Other 4228373 RR MEDICARE
Tennessee MEDICAID 10505 RR MEDICARE
Tennessee Other 86961 RR MEDICARE
Tennessee MEDICAID 1516452 RR MEDICARE
Tennessee Other 2687125 RR MEDICARE
Tennessee MEDICAID 139241001 RR MEDICARE

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