Individual
DR. MARK XAVIER RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1319 SUNSET DR, SUITE 103, JOHNSON CITY, TN 37604-3799
(423) 439-7246
(423) 282-4698
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
52207
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010456
—
TN
Enumeration date
07/07/2006
Last updated
01/25/2024
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