Individual
MARK D HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1924 ALCOA HWY, SUITE 6-SOUTH, KNOXVILLE, TN 37920-1511
(865) 305-8888
(865) 305-2514
Mailing address
1930 ALCOA HWY, STE 435, KNOXVILLE, TN 37920-1520
(865) 305-8888
(865) 305-7090
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD 23608
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069396
—
TN
Enumeration date
09/13/2005
Last updated
10/28/2019
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