Individual
DR. JAMES H CARMACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 GLEN OAK BLVD, SUITE 100, HENDERSONVILLE, TN 37075-6424
(615) 822-6701
(615) 264-3310
Mailing address
105 GLEN OAK BLVD, SUITE 199, HENDERSONVILLE, TN 37075-6424
(615) 822-6701
(615) 264-3310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD9075
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245213909
NPI
TN
05
—
3159356
—
TN
Enumeration date
11/26/2005
Last updated
08/16/2010
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