MR. Mark W Ingram, PAC
NPI #1124079017 in Morristown, Tennessee
Provider Information
- NPI Number
- 1124079017
- Entity Type
- Individual
- Name
- MR. Mark W Ingram, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- May 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 908 WEST NORTH 4TH ST
- City
- Morristown
- State
- Tennessee
- ZIP Code
- 37813
- Phone
- (423) 586-4995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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