Individual
JOSEPH ALEXANDER MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 374-7701
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.075546
OH
208M00000X
Hospitalist Physician
35075546
OH
Other
Enumeration date
08/30/2006
Last updated
07/22/2021
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