Individual
MR. JAMES CHARLES NELSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2546 WINDLE COMMUNITY RD, RICKMAN, TN 38580
(931) 498-4880
(931) 498-4882
Mailing address
2546 WINDLE COMMUNITY RD., RICKMAN, TN 38580
(931) 498-4880
(931) 498-4882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000035951
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37202M001
—
TN
Enumeration date
01/27/2006
Last updated
10/25/2007
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