Individual
DR. MARK D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036174985
IL
207RG0100X
Gastroenterology Physician
Primary
MD0000019697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005657
BCBS OF TN
TN
Enumeration date
11/01/2006
Last updated
02/04/2026
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