| Mark Corum, | |
|
1212 State St, White Pine, TN 37890-3467 | |
| (865) 674-7517 | |
| Not Available |
| Full Name | Mark Corum |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1212 State St, White Pine, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669865440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 9174 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Corum, 868 Sellers Rd, Jefferson City, TN 37760-4203 Ph: (865) 591-6942 | Mark Corum, 1212 State St, White Pine, TN 37890-3467 Ph: (865) 674-7517 |
Robert John Braidwood, BSPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1212 State St, White Pine, TN 37890 Phone: 865-674-7517 Fax: 865-453-2671 | |
Mrs. Anna Marie Calfee, DPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1212 State St, White Pine, TN 37890 Phone: 865-674-7517 Fax: 865-674-8198 |