Individual
MARK THOMAS WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-1612
(434) 243-3090
(434) 244-9445
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101054161
VA
207RG0100X
Gastroenterology Physician
Primary
0101054161
VA
207RG0100X
Gastroenterology Physician
43526
AZ
207RG0100X
Gastroenterology Physician
D40278
MD
Other
Enumeration date
07/31/2006
Last updated
01/27/2023
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