Individual
DR. JAMES W HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MED TECH PKWY, STE. 240, JOHNSON CITY, TN 37604-2364
(423) 794-5520
(423) 282-6940
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31919
TN
207RP1001X
Pulmonary Disease Physician
31919
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
31919
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3843620
—
TN
Enumeration date
07/13/2005
Last updated
02/18/2025
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