Organization
MARK D NOWELL
Active
Other names
Livingston Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DEWAYNE NOWELL MD (MD OWNER)
(931) 403-5180
Entity
Organization
Contact information
Practice address
310 OAK ST, LIVINGSTON, TN 38570-1729
(931) 403-5180
(931) 403-5182
Mailing address
PO BOX 9, LIVINGSTON, TN 38570-0009
(931) 403-5180
(931) 403-5182
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3874928
—
TN
Enumeration date
10/26/2006
Last updated
10/09/2008
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