Mark V Fairhurst (NPI# 1821181512, PAC ID# 6507820743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1821181512 |
| PAC ID by PECOS | 6507820743 |
| Professional Enrollment ID | I20080619000135 |
| Full Name | Mark V Fairhurst |
| Address |
3040 Business Park Cir Goodlettsville TN 37072-3594 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3040 Business Park Cir, Goodlettsville, TN 37072-3594 |
| Street Address |
3040 BUSINESS PARK CIR |
| City | GOODLETTSVILLE |
| State | TN |
| Zip | 37072-3594 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee A Bullington | Chiropractic | 120 E Cedar St, Godlettsville, TN 37072-1434 | |
| Jeffrey T Bryant | Psychologist, Clinical | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Bill Wayne Swilley | Family Medicine | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Janice Y Walker | Clinical Psychologist | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Kenneth R Stohr | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| Dalton Tolliver | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| William Miller | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| Stephanie Dawn Fortney | Chiropractic | 301 S Main St, Suite D, Goodlettsville, TN 37072-1749 | |
| Stephen L Hammerman | Family Practice | 601 S Main St, A, Goodlettsville, TN 37072-1757 | |
| Kenneth W Brawner | Optometry | 900 Conference Dr, Suite 15b, Goodlettsville, TN 37072-1909 | |
| Find all physicians in zip 37072 | |||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
| Specialty | DERMATOLOGY |
| City + Specialty | GOODLETTSVILLE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.