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Contact Information

MARK W INGRAM, PAC
908 WEST NORTH 4TH ST
MORRISTOWN, TN37813
 Phone: 423-586-4995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK W INGRAM · (Male)

NPI # 1124079017
Status Active
Credentials PAC
Entity Individual
Enumeration date 05/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # PA783
Hospital affiliation(s)
  • FRANKLIN WOODS COMMUNITY HOSPITAL - (Acute Care)
    300 MED TECH PARKWAY
    JOHNSON CITY, TN 37604
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
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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