Individual
JAMES V TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5653 FRIST BLVD, SUITE 630, HERMITAGE, TN 37076-2094
(615) 391-3971
(615) 369-2032
Mailing address
5653 FRIST BLVD, SUITE 630, HERMITAGE, TN 37076-2094
(615) 391-3971
(615) 369-2032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36266
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110248369
R/R MEDICARE
TN
05
—
3875089
—
TN
01
—
4041640
TENNCARE
TN
01
—
7016359
AETNA
TN
01
—
8714442
CIGNA
TN
01
—
H19000
HEALTHSPRING
TN
01
—
P2007234
FIRST HEALTH
TN
Enumeration date
05/22/2006
Last updated
01/08/2015
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