Individual
JONATHAN W WIREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER LAMONT AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
151 LAKE HARBOR DR, GRAY, TN 37615-2972
(423) 477-5880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24623
TN
Other
Enumeration date
07/27/2006
Last updated
09/27/2012
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