Individual
JOHN WALTER MACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 ALCOA HWY, SUITE E-180, KNOXVILLE, TN 37920-2244
(865) 305-6955
(865) 637-5216
Mailing address
PO BOX 440547, NASHVILLE, TN 37244-0547
(865) 670-6199
(865) 670-6188
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
016544
TN
Other
Enumeration date
08/31/2005
Last updated
03/05/2010
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