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Individual

MR. JAMES D WOMACK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7323 CHAPMAN HWY STE 170, KNOXVILLE, TN 37920-6758
(865) 579-0599
(865) 851-7358
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000001122
TN
363A00000X
Physician Assistant
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q011408
TN
Enumeration date
01/03/2007
Last updated
05/01/2019
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