Individual
MARK AINSLEY INNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
(757) 398-2359
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7012
(865) 985-7077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101243430
VA
207P00000X
Emergency Medicine Physician
01078891A
IN
207P00000X
Emergency Medicine Physician
248590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740450220
—
VA
Enumeration date
03/11/2008
Last updated
04/03/2026
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