| Mark R. Doman, M.d. P.c. | |
|
113 N Main St Bulls Gap TN 37711-4735 | |
| (423) 235-0063 | |
| (423) 235-0066 |
| Full Name | Mark R. Doman, M.d. P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 113 N Main St, Bulls Gap, Tennessee |
| Authorized Official Name and Position | Mark Richard Doman (PRESIDENT) |
| Authorized Official Contact | 4232350063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R. Doman, M.d. P.c. Po Box 70 Bulls Gap TN 37711-0070 Ph: (423) 235-0063 | Mark R. Doman, M.d. P.c. 113 N Main St Bulls Gap TN 37711-4735 Ph: (423) 235-0063 |
| NPI Number | 1225115363 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225115363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21947 (Tennessee) | Primary |
Bulls Gap Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 260 Highway 11 E, Bulls Gap, TN 37711 Phone: 423-235-4191 Fax: 423-235-7092 | |
Lark Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Highway 11 E, Bulls Gap, TN 37711 Phone: 423-393-4052 Fax: 423-933-2915 | |
Bulls Gap Medical And Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Highway 11 E Ste A, Bulls Gap, TN 37711 Phone: 423-393-4146 Fax: 423-393-4377 |