Individual
MR. MARK A THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261
Mailing address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3050592
BCBS
TN
05
—
3608292
—
TN
01
—
430041161
MEDICARE RAILROAD
TN
05
—
74392937
—
KY
Enumeration date
12/30/2005
Last updated
07/13/2010
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