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Individual

DR. MARK THOMAS ALBERHASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16664
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
21209
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000035242
TLC TENNCARE
TN
01
175445
UNISON TENNCARE
TN
05
2587268
OH
01
3047610
BLUE CROSS
TN
05
3048650
TN
05
64777147
KY
Enumeration date
10/11/2006
Last updated
07/08/2007
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