Mark William Traugh in Jackson - Medical

Mark William Traugh - NPI 1558340026

Mark William Traugh is a Medical in Jackson, Tennessee. Mark William Traugh practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark William Traugh is 1558340026. The last update date is 2007-07-08.

Mark William Traugh's current location address is 1804 Highway 45 Byp, Jackson, Tennessee. You can contact this provider via phone number 7316608759 and fax number 7316608739. The mailing address for Mark William Traugh is 1804 Highway 45 Byp, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark William Traugh
Address 1804 Highway 45 Byp, Jackson, Tennessee
Phone Number 7316608759
Fax Number 7316608739
Sole Proprietor X
Credentials P.A.

NPI Number Detail

NPI Number 1558340026
Provider Enumeration Date 2006-01-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1804 Highway 45 Byp
City Jackson
State Tennessee (TN)
Post Code 383054436
Phone Number 7316608759
Fax Number 7316608739

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA558
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Mark William Traugh

What is the unique 10-digit identifier code assigned to Mark William Traugh by the Centers for Medicare & Medicaid Services?

The Mark William Traugh has been issued the NPI (National Provider Identifier) 1558340026 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark William Traugh's facilities are geographically located?

The facilities of Mark William Traugh are physically situated at the following location: 1804 Highway 45 Byp, Jackson, TN, 383054436.

What is the Mark William Traugh's specialty and taxonomy code?

The Mark William Traugh's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558340026 to Mark William Traugh?

The Mark William Traugh received its 1558340026 assignment from the Centers for Medicare & Medicaid Services on 2006-01-12.

When was the information pertaining to Mark William Traugh most recently updated or revised?

The details related to Mark William Traugh, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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