Most Relevant Information
Provider Data
| NPI Number: | 1003278672 |
| Provider Name: | MARY AXELRAD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 58418 |
Most Important Dates
| Enumeration Date: | 03/23/2016 |
| Last Updated: | 01/16/2024 |
Provider Practice Location
4848 FORT HENRY DR
KINGSPORT
TN
376633347
Practice Location Phone/Fax
| Phone: | 4232395141 |
| Fax: | 4232394869 |
Provider Mailing Location
PO BOX 9
KINGSPORT
TN
376620009
Provider Mailing Phone/Fax
| Phone: | 4238572093 |
| Fax: | 4233903340 |
Suggested EMR
Family Practice EMR