Organization
LONDON CORPORATON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H JASTER MD (PHYSICIAN/OWNER)
(901) 577-9467
Entity
Organization
Contact information
Practice address
23 SOUTH PAULINE STREET, SUITE 709, MEMPHIS, TN 38104-3121
(901) 577-9467
(901) 362-6618
Mailing address
23 SOUTH PAULINE STREET, SUITE 709, MEMPHIS, TN 38104-3121
(901) 577-9467
(901) 362-6618
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26376
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003005885
NPI
TN
05
—
1510854
—
TN
05
—
3098864
—
TN
Enumeration date
10/06/2008
Last updated
04/27/2009
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