MARK W INGRAM

TRI-CITIES OBSERVATION SERVICES, PC

Dr MARK W INGRAM is a male medical professional, specializing in Physician Assistant. He graduated in 2000.

Contact

TRI-CITIES OBSERVATION SERVICES, PC

400 N STATE OF FRANKLIN RD
JOHNSON CITY
TN
376046035

Tel: 4234316111

MARK W INGRAM Information

Npi 1124079017
Pac Id 4486786894
Professional Enrollment Id I20100721000370
Last Name INGRAM
First Name MARK
Middle Name W
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRI-CITIES OBSERVATION SERVICES, PC
Group Practice Pac Id 3274819719
Number Of Group Practice Members 24
Line 1 Street Address 400 N STATE OF FRANKLIN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JOHNSON CITY
State TN
Zip Code 376046035
Phone Number 4234316111
Hospital Affiliation Ccn 1 440176
Hospital Affiliation Lbn 1 INDIAN PATH MEDICAL CENTER
Hospital Affiliation Ccn 2 440063
Hospital Affiliation Lbn 2 JOHNSON CITY MEDICAL CENTER
Hospital Affiliation Ccn 3 440184
Hospital Affiliation Lbn 3 FRANKLIN WOODS COMMUNITY HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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