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Mark R. Doman, M.d. P.c.
Primary Care Clinic/Center in Bulls Gap, Tennessee
NPI 1225115363

Mark R. Doman, M.d. P.c. is a Primary Care Clinic/Center based in Bulls Gap, TN and is specialized in Primary Care. Mark R. Doman, M.d. P.c. practices in Bulls Gap, TN. The NPI Number for Mark R. Doman, M.d. P.c. is 1225115363 and holds a License No. 21947 (Tennessee).

The current practice location address for Mark R. Doman, M.d. P.c. is 113 N Main St, Bulls Gap, TN and can be reached out via phone at 423-235-0063 and via fax at 423-235-0066.

Location: 113 N Main St, Bulls Gap, TN, 37711-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225115363
Provider Name
Mark R. Doman, M.d. P.c.
Credential
Provider Entity Type
Organization
Address
113 N Main St, Bulls Gap, TN, 37711-0070
Phone Number
423-235-0063
Fax Number
423-235-0066
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
113 N Main St
City
Bulls Gap
State
Tennessee
Zip
37711-4735
Phone Number
423-235-0063
Fax Number
423-235-0066
person
Provider Business Mailing Address Details
Address
113 N Main St
City
Bulls Gap
State
Tennessee
Zip
37711-4735
Phone Number
423-235-0063
Fax Number
423-235-0066
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
21947 (Tennessee)
Definition
Definition to come...
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