Withrow, Mark L

Withrow, Mark L is an individual health care provider with primary practice located at 105 W Stone Dr Ste 5D , Kingsport TN 37660-3365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Withrow, Mark L can be contacted via phone (423) 247-7500.

Contact Information

Primary practice address
105 W Stone Dr Ste 5D Kingsport TN 37660-3365
Phone: (423) 247-7500
Fax: (423) 247-7556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD025903 Tennessee

Profile Details

NPI number 1255338547
LBN Legal business name Withrow, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 19th, 2021 - about 3 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 1255338547 NPPES
Virginia MEDICAID 1255338547
Virginia MEDICAID 3089796

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