| Doctor Name: | MARK T POLLARD |
| NPI Number: | 1942231139 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD20905 |
| Business Practice Address: | 1494 Stuart Rd Ne Cleveland, TN - 373125823 |
| Business Phone Number: | 4236487699 |
| Business Fax Number: | 4236487695 |
| Mailing Address: | 6170 Shallowford Rd, Ste 101 CHATTANOOGA |
| State: | TN |
| Postal Code: | 374211892 |
| Phone Number: | 4236484500 |
| Fax Number: | 4236488117 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD20905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |