Individual
MARC W MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 MEADOWVIEW PARKWAY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5097
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24890
AL
207RC0000X
Cardiovascular Disease Physician
43665
TN
207RI0011X
Interventional Cardiology Physician
Primary
43665
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009999495
—
AL
Enumeration date
08/31/2006
Last updated
05/23/2017
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