Provider Demographics
NPI:1831821321
Name:MARK'S CLINICAL SERVICES LLC
Entity type:Organization
Organization Name:MARK'S CLINICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:423-319-7924
Mailing Address - Street 1:PO BOX 5145
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-5145
Mailing Address - Country:US
Mailing Address - Phone:423-569-7800
Mailing Address - Fax:423-569-7801
Practice Address - Street 1:205 E 3RD AVE STE A
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-2710
Practice Address - Country:US
Practice Address - Phone:423-569-7800
Practice Address - Fax:423-569-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty