Individual
GARY V JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
518 WEST GUM STREET, MARION, KY 42064-1516
(270) 965-5238
(270) 965-9015
Mailing address
PO BOX 559, MARION, KY 42064-0559
(270) 965-5238
(270) 965-9015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20690
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045472
ANTHEM BC/BS
KY
05
—
0200277044
—
IL
01
—
080046127
RAILROAD MEDICARE
—
05
—
64206907
—
KY
Enumeration date
08/12/2005
Last updated
06/23/2011
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