| John Jason James, Do, Llc | |
|
662 Sango Rd Suite C Clarksville TN 37043-5978 | |
| (931) 245-1500 | |
| (931) 245-1544 |
| Full Name | John Jason James, Do, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 662 Sango Rd, Clarksville, Tennessee |
| Authorized Official Name and Position | John Jason James (SOLE MEMBER) |
| Authorized Official Contact | 9312377691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Jason James, Do, Llc 662 Sango Rd Suite C Clarksville TN 37043-5978 Ph: (931) 245-1500 | John Jason James, Do, Llc 662 Sango Rd Suite C Clarksville TN 37043-5978 Ph: (931) 245-1500 |
| NPI Number | 1518108786 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518108786 | NPI | - | NPPES |
| 1073594099 | Other | TN | DIRECTING PHYSICIAN'S INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | DO1628 (Tennessee) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | DO 1628 (Tennessee) | Primary |
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