Individual
DR. JAMES J BOTSKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 CONFERENCE DR, GOODLETTSVILLE, TN 37072-1915
(615) 859-1440
(615) 859-0145
Mailing address
PO BOX 710, GOODLETTSVILLE, TN 37070-0710
(615) 859-1440
(615) 859-0145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD38178
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898253
—
TN
Enumeration date
01/30/2006
Last updated
07/08/2007
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