Individual
TRICIA T JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL18004
OR
207R00000X
Internal Medicine Physician
Primary
MD151038
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635438
—
OR
01
—
P00965919
RR MEDICARE - PHS
OR
Enumeration date
06/23/2008
Last updated
10/14/2020
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