Individual
DR. JAMES H JASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 SOUTH PAULINE STREET,, SUITE 709, MEMPHIS, TN 38104-3121
(901) 577-9467
(901) 362-6618
Mailing address
23 SOUTH PAULINE STREET,, SUITE 709, MEMPHIS, TN 38104-3121
(901) 577-9467
(901) 362-6618
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD-26376
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510855
—
TN
05
—
1811816
—
TN
01
—
3032118
BLUE CROSS BLUE SHIELD
TN
01
—
4173667
BLUECROSS BLUESHIELD
TN
Enumeration date
10/17/2007
Last updated
01/04/2011
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