Individual
DR. MARY LOUISE MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2771 HWY 11 EAST, SUITE 5, LENOIR CITY, TN 37772
(865) 988-1916
(865) 988-1914
Mailing address
2771 HWY 11 EAST, SUITE 5, LENOIR CITY, TN 37772
(865) 988-1916
(865) 988-1914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
195501
NY
207R00000X
Internal Medicine Physician
19595
SC
207R00000X
Internal Medicine Physician
Primary
27836
TN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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