Mark Blair Md Pc

LBN: Mark Blair Md Pc
Mark Blair Md Pc is an health care organization with primary practice located at 1750 Cedar Ln Ste 100 , Tullahoma TN 37388-4760. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mark Blair Md Pc can be contacted via phone (931) 461-1150, or through Blair, Mark via phone (931) 461-1150.

Contact Information

Primary practice address
1750 Cedar Ln Ste 100 Tullahoma TN 37388-4760
Fax: (931) 454-2376
Website:
Authorized official contact:
Name: Blair, Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1972590172
LBN Legal business name Mark Blair Md Pc
DBA Doing business as
Authorized official Blair, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 24th, 2019 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972590172 NPPES
Tennessee Other 4043202 BCBS
Tennessee Other 7201687 BCBS
Tennessee MEDICAID 3370034 BCBS

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