Dr. Mark W. Fugate
Surgeon Vascular Surgeon
2501 Citico Ave
Chattanooga
, Tennessee 37404-1127
Dr. Mark W. Fugate
Surgeon Vascular Surgeon
2501 Citico Ave
Chattanooga
, Tennessee 37404-1127
(423) 697-2118
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mark W. Fugate
- 2501 Citico Ave
- Chattanooga, TN
- Zip : 37404-1127
- Fax : (423) 697-2118
- Phone : (423) 697-2000
Second Address
- Dr. Mark W. Fugate
- 2501 Citico Ave
- Chattanooga, TN
- Zip : 37404-1127
- Fax : (423) 697-2320
- Phone : (423) 697-2000
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FAQs
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Is Dr. Mark W. Fugate a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD44206 | TN |
| N | 208600000X | Surgeon | MD44206 | TN |
| Y | 2086S0129X | Vascular Surgeon | 44206 | TN |
National Provider Identifier
| NPI | 1124227459 |
|---|---|
| Provider Name | Dr. Mark W. Fugate |
| First Address | Chattanooga, TN 37404-1127 |
| Second Address | Chattanooga, TN 37404-1127 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2007 |
| Last Update Date | 02/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1515384 | (05) | TN |
| 163534 | (05) | AL |
| 4230402 | BCBS (01) | TN |
| 540820812A | (05) | GA |
| P00741318 | RR MEDICARE (01) |
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.