Individual
MR. MARK ALAN DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
JHQVAMC, CORNER OF LAMONT AND VETERANS WAY - 116V, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
334 WEBB ROAD, PINEY FLATS, TN 37686
(910) 723-1416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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