Mcgrail, Mark Allen

Mcgrail, Mark Allen is an individual health care provider with primary practice located at 2018 Western Ave , Knoxville TN 37921-5718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Mcgrail, Mark Allen can be contacted via phone (865) 544-0406.

Contact Information

Primary practice address
2018 Western Ave Knoxville TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2021-00315 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD30708 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T8718 Texas
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 2021-00315 North Carolina

Profile Details

NPI number 1063488831
LBN Legal business name Mcgrail, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 8th, 2022 - about 4 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 1063488831 NPPES
Tennessee MEDICAID 3827523

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