Mccoll, Mark Benton
Mccoll, Mark Benton is an individual health care provider with primary practice located at 280 Fort Sanders West Blvd Suite 101, Knoxville TN 37922-3398. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mccoll, Mark Benton can be contacted via phone (865) 539-0270.Contact Information
Primary practice address
280 Fort Sanders West Blvd Suite 101
Knoxville TN 37922-3398
Phone: (865) 539-0270
Fax: (865) 539-6998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0000040833 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD0000040833 | Tennessee |
Profile Details
| NPI number | 1659312239 |
|---|---|
| LBN Legal business name | Mccoll, Mark Benton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659312239 | NPPES |
| Tennessee | Other | MD0000040833 | MEDICAL LICENSE |
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