NPI 1104805043
Mark Roy Bateman, MD
Practice location
- Address
- 668 Skyline Dr, Jackson, TN 38301
- Phone
- (731) 424-2414
- Fax
- (731) 424-4444
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1104805043
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jan 2006
- Record last updated
- 15 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.