Individual
WILLIAM DEAN JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 701-2400
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20296
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
20296
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000001062
TLC
TN
05
—
007238527
—
MS
05
—
110318002
—
AR
05
—
117286001
—
AR
01
—
200022156
RAILROAD MEDICARE
TN
01
—
2675407
CIGNA
TN
01
—
3037120
BCBS
TN
05
—
3051593
—
TN
05
—
3371161
—
TN
01
—
4110755
AETNA
TN
01
—
620819926
BCBS
MS
01
—
620819926
AETNA
TN
05
—
7187860
—
MS
Enumeration date
05/23/2005
Last updated
03/17/2021
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