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Individual

DR. MARK DAVID LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1590 CLINGAN RIDGE DR NW, CLEVELAND, TN 37312-3650
(423) 473-4850
(423) 473-9707
Mailing address
1590 CLINGAN RIDGE DR NW, CLEVELAND, TN 37312-3650
(423) 473-9700
(423) 473-9707

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TNDC1085
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4073663
BLUE CROSS BLUE SHIELD
TN
01
7356920
CIGNA HEALTHCARE
TN
Enumeration date
07/24/2006
Last updated
02/05/2013
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