Ingram, Mark W

Ingram, Mark W is an individual health care provider with primary practice located at 908 West North 4Th St , Morristown TN 37813. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ingram, Mark W can be contacted via phone (423) 586-4995.

Contact Information

Primary practice address
908 West North 4Th St Morristown TN 37813
Phone: (423) 586-4995
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA783 Tennessee

Profile Details

NPI number 1124079017
LBN Legal business name Ingram, Mark W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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