Mark A. Whitehead, PA-C

NPI #1235326059 in Columbia, Tennessee

Provider Information

NPI Number: 1235326059
Entity Type: Individual
Name: Mark A. Whitehead, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: PA-C
Enumeration Date: Sep 25, 2007
Last Updated: Feb 13, 2017

Practice Location

Address: 1222 TROTWOOD AVE.
Address 2: STE 108
City: Columbia
State: Tennessee
ZIP Code: 38401
Phone: (931) 388-8965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Pediatrics	208000000X	Primary

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