MARK W INGRAM

MORRISTOWN, TN
NPI1124079017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  PA783)
Enumeration Date2006-05-15
Last Update Date2007-07-08
Business Address
Mr. MARK W INGRAM PAC
908 WEST NORTH 4TH ST
MORRISTOWN, TN 37813
Phone number: 423-586-4995
Mailing Address
Mr. MARK W INGRAM PAC
4519 MAJESTIC MAGNOLIA LANE
MORRISTOWN, TN 37814
Phone number: 423-312-8546
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