| NPI | 1043480908 |
|---|---|
| Other Name | MDATHOME |
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD WERT CEO/Cmo 931-636-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TN 27013) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: TN 27013) |
| 207P00000X Emergency Medicine (Licence: TN 27013) | |
| 208D00000X General Practice (Licence: TN 27013) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |