Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Blair, MD

Individual provider Surgery Physician · NPI 1508869561

Dr. Mark Blair, MD is a General Surgery in Tullahoma, Tennessee. Graduated from Indiana University School of Medicine in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Trained at
Indiana University School of Medicine
Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 William Northern Blvd
Tullahoma, TN 37388-4754
Phone: (931) 461-1150
Fax: (888) 498-3372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD34454 (TN)

Record details

NPI number1508869561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing addressPo Box 910, Tullahoma, TN 37388-0910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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