Individual
DR. MARK A WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
5340 RINGGOLD RD STE 100, CHATTANOOGA, TN 37412-3194
(423) 648-3150
(423) 648-4305
Mailing address
5340 RINGGOLD RD STE 100, CHATTANOOGA, TN 37412-3194
(423) 648-3150
(423) 648-4305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P-1258
TN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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