Individual
JAMES M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7211 WELLINGTON DR, SUITE 201, KNOXVILLE, TN 37919-5968
(865) 584-5762
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3304235
—
TN
01
—
930041887
RR MEDICARE
TN
Enumeration date
06/19/2006
Last updated
09/23/2008
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