Womack, Mark S

Womack, Mark S is an individual health care provider with primary practice located at 605 Glenwood Drive Suite 200, Chattanooga TN 37404-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Womack, Mark S can be contacted via phone (423) 698-1844.

Contact Information

Primary practice address
605 Glenwood Drive Suite 200 Chattanooga TN 37404-1130
Fax: (423) 624-2226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD0000047306 Tennessee

Profile Details

NPI number 1689887788
LBN Legal business name Womack, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jan 28th, 2013 - 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 1689887788 NPPES
Tennessee MEDICAID 1525503

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