Mark Blair Md Pc

LBN: Mark Blair Md Pc
Mark Blair Md Pc is an health care organization with primary practice located at 100 William Northern Blvd , Tullahoma TN 37388-4754. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mark Blair Md Pc can be contacted via phone (931) 461-1150, or through Blair, Mark via phone (931) 461-1150.

Contact Information

Primary practice address
100 William Northern Blvd Tullahoma TN 37388-4754
Phone: (931) 461-1150
Fax: (888) 498-3372
Website:
Map and Directions
Authorized official contact:
Name: Blair, Mark Doctor of Medicine (MD)
Phone: (931) 461-1150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1972590172
LBN Legal business name Mark Blair Md Pc
DBA Doing business as
Authorized official Blair, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972590172 NPPES
Tennessee Other 4043202 BCBS
Tennessee MEDICAID 3370034 BCBS
Tennessee Other 7201687 BCBS

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