Basic Information
| Provider Information | |||||||||
| NPI: | 1821438441 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CURRIN | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | BENJAMIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7305 JARNIGAN ROAD | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4234954349 | ||||||||
| FaxNumber: | 4234954934 | ||||||||
| Practice Location | |||||||||
| Address1: | 2051 HAMILL ROAD | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | HIXSON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236970072 | ||||||||
| FaxNumber: | 4236971798 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2013 | ||||||||
| LastUpdateDate: | 08/08/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 36039 | SC | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | 080647 | GA | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | 57245 | TN | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.