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Individual

MARC D COUNTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
(423) 390-6852
Mailing address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
(423) 390-6852

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101235404
VA
207RC0000X
Cardiovascular Disease Physician
Primary
31853
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010224896
VA
01
178745
ANTHEM
VA
05
3373123
TN
01
4105714
BCBS
TN
05
5900978
NC
05
65943904
KY
01
TN0109
JOHN DEERE HEALTH
TN
Enumeration date
07/10/2006
Last updated
07/21/2022
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