Individual
DR. MARK L WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W STONE DR STE 5D, KINGSPORT, TN 37660-3365
(423) 247-7500
(423) 247-7556
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 390-3340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101274055
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD025903
TN
208M00000X
Hospitalist Physician
0101274055
VA
208M00000X
Hospitalist Physician
25903
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255338547
—
VA
05
—
3089796
—
TN
Enumeration date
07/01/2005
Last updated
09/03/2025
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