| Jim T Harris, DO | |
|
1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 | |
| (931) 359-6241 | |
| Not Available |
| Full Name | Jim T Harris |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1080 N Ellington Pkwy, Lewisburg, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598994147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2479 (Tennessee) | Primary |
| Entity Name | Maury Regional Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
| Entity Name | Middle Tennessee Emergency Physicians, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194758979 PECOS PAC ID: 3678464526 Enrollment ID: O20040322001049 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Jim T Harris, DO 4001 Trotwood Ave, Columbia, TN 38401-5050 Ph: (931) 215-8000 | Jim T Harris, DO 1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 Ph: (931) 359-6241 |
Gary Swanson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 | |
Sonnepal Venkat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 | |
Charles Galiwango, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 |