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Individual

MR. MARK ANDREW SEAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1224 TROTWOOD AVENUE, COLUMBIA, TN 38401
(931) 380-4072
(931) 490-7043
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 380-4072
(931) 490-7043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TN035012
TN
208000000X
Pediatrics Physician
MD35012
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3283015
TN
05
3861725
TN
05
3861726
TN
01
4003190
BCBS
TN
Enumeration date
12/28/2005
Last updated
01/27/2010
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