National Provider Identifier Database

MARK A WHITEHEAD, PA-C – NPI #1235326059
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

MARK A WHITEHEAD, PA-C
1222 TROTWOOD AVE.
STE 108
COLUMBIA, TN38401
Phone: 931-388-8965
Fax: 931-840-8520
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for MARK A WHITEHEAD

NPI Number 1235326059
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/25/2007
Last updated 02/13/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • TN License #: 1531
  • TN License #: PA0000001531
  • TN Medicaid: 1501347
Hospital affiliation n/a

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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