Individual
DR. MARK BENTON MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 FORT SANDERS WEST BLVD, SUITE 101, KNOXVILLE, TN 37922-3398
(865) 539-0270
(865) 539-6998
Mailing address
280 FORT SANDERS WEST BLVD, SUITE 101, KNOXVILLE, TN 37922-3398
(865) 539-0270
(865) 539-6998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000040833
TN
208000000X
Pediatrics Physician
MD0000040833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD0000040833
MEDICAL LICENSE
TN
Enumeration date
06/08/2006
Last updated
03/07/2023
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