Dr. Mark L Reed
General Practice Physician
3789 Covington Pike
Memphis
, Tennessee 38135-2279
Dr. Mark L Reed
General Practice Physician
3789 Covington Pike
Memphis
, Tennessee 38135-2279
(901) 388-9501
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mark L Reed
- P O Box 1000 Dept 978
- Memphis, TN
- Zip : 38148-0001
- Fax : (901) 388-9501
- Phone : (901) 372-3200
Second Address
- Dr. Mark L Reed
- 3789 Covington Pike
- Memphis, TN
- Zip : 38135-2279
- Fax : (901) 388-9501
- Phone : (901) 372-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 10038 | TN |
National Provider Identifier
| NPI | 1013004324 |
|---|---|
| Provider Name | Dr. Mark L Reed |
| First Address | Memphis, TN 38148-0001 |
| Second Address | Memphis, TN 38135-2279 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 01/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3170623 | (05) | TN |
| 6061937 | BCBS (01) | TN |
| B03415 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.