Individual
DR. MARK ALLEN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-3091
(931) 729-0809
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29891
TN
207Q00000X
Family Medicine Physician
MD0000029891
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441903
—
TN
Enumeration date
07/06/2007
Last updated
05/08/2026
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