IndividualActive
Mark Wathen, MD
NPI 1104925536 · Clinical Cardiac Electrophysiology Physician · Cookeville, TN
Provider details
- NPI number
- 1104925536
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 23921 (TN)
Practice location
228 W 4th St
Suite 200
Cookeville, TN 38501-2488
Phone: (931) 372-0405
Fax: (931) 372-0463
Mailing address
228 W 4th St
Cookeville, TN 38501-2488
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2022-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.