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Individual

GREGORY C MARCUM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-4000
Mailing address
551 MAIN ST, THIRD FLOOR, JOHNSTOWN, PA 15901-2032
(814) 539-5724
(814) 536-7092

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19016
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3034295
TN
Enumeration date
06/15/2006
Last updated
07/08/2007
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