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Contact Information

MARK D HENNESSY, MD
1924 ALCOA HWY
SUITE 6-SOUTH
KNOXVILLE, TN37920-1511
 Phone: 865-305-8888
 Fax: 865-305-2514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARK D HENNESSY · (Male)

NPI Number 1194710467
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2005
Last updated 10/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD 23608
  • TN Medicaid 3069396
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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