Beveridge, Mark Stockton

Beveridge, Mark Stockton is an individual health care provider with primary practice located at 220 Athens Way # 240 , Nashville TN 37228-1311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Beveridge, Mark Stockton can be contacted via phone (833) 208-7770.

Contact Information

Primary practice address
220 Athens Way # 240 Nashville TN 37228-1311
Phone: (833) 208-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X R7172 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X R7172 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R7172 Texas

Profile Details

NPI number 1477949873
LBN Legal business name Beveridge, Mark Stockton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Jun 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477949873 NPPES
Texas MEDICAID 391078803

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