Mark Roy Bateman MD

NPI 1104805043 - Ophthalmology - 207W00000X

NPI Details
NPI 1104805043
Gender Male
Enumeration Date 01/10/2006
Last Updated 11/15/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
668 SKYLINE DR
JACKSON TN, 38301, US
Phone (731) 424-2414
Fax (731) 424-4444
Business Location
668 SKYLINE DR
JACKSON TN, 38301, US
Phone (731) 424-2414
Fax (731) 424-4444
Toxanomy
Taxonomy Code 207W00000X
License State Tennessee
License Number MD0017889
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According to our database, Dr. Mark Roy Bateman MD NPI is 1104805043, taxonomy code is 207W00000X and license number is MD0017889, license state is located at Tennessee. Mark Roy Bateman MD physically located at 668 Skyline Dr, Jackson TN, 38301. NPI Number Mark Roy Bateman MD has the Individual type.

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1104805043 NPI number is provided on an as is basis without warranty of any kind. 1104805043 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Roy Bateman MD are for informational purposes only.