Individual
DR. MARK LOUIS MANWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 MEDICAL CENTER PKWY STE 440, MURFREESBORO, TN 37129
(615) 867-1940
(615) 867-1941
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 867-1940
(615) 867-1941
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006-01186
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163XK
BCBSNC
NC
05
—
1912107277
—
NC
01
—
NC14930322
MEDICARE
NC
05
—
Q034047
—
TN
Enumeration date
07/24/2007
Last updated
08/28/2018
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