Individual
DR. JAMES D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
149 WALNUT GROVE CHURCH RD, DAYTON, TN 37321-7925
(423) 775-5512
(423) 775-0155
Mailing address
149 WALNUT GROVE CHURCH RD, DAYTON, TN 37321-7925
(423) 775-5512
(423) 775-0155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000015680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011360
PHP CARITEN
TN
05
—
3008582
—
TN
01
—
621654001
FEDERAL TAX ID
—
01
—
BCBS
37544
NE
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
12/06/2006
Last updated
07/09/2007
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