1982647665 NPI number — DR. MARK DOUGLAS PRESSLEY DO, MPH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982647665 NPI number — DR. MARK DOUGLAS PRESSLEY DO, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRESSLEY
Provider First Name:
MARK
Provider Middle Name:
DOUGLAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO, MPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982647665
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 227
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLONS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38541-0227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-907-5967
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LIVINGSTON REGIONAL HOSPITAL
Provider Second Line Business Practice Location Address:
315 OAK STREET
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-403-2175
Provider Business Practice Location Address Fax Number:
931-403-2345
Provider Enumeration Date:
06/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  DO 1007 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X , with the licence number: DO 1007 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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