Mainwaring, Mark G

Mainwaring, Mark G is an individual health care provider with primary practice located at 1840 Medical Center Pkwy Suite 300, Murfreesboro TN 37129-2564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Mainwaring, Mark G can be contacted via phone (615) 848-0488.

Contact Information

Primary practice address
1840 Medical Center Pkwy Suite 300 Murfreesboro TN 37129-2564
Fax: (615) 904-9061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 35429 Tennessee

Profile Details

NPI number 1740216985
LBN Legal business name Mainwaring, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 31st, 2012 - about 12 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 1740216985 NPPES
Tennessee MEDICAID 3865363
Tennessee Other 7814241
Tennessee Other 3640237
Tennessee Other 900003716
Tennessee Other 4015906
Tennessee MEDICAID 64036239

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