Individual
DR. PAMELA A JAMIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38301-3901
(731) 660-8759
Mailing address
1947A MADISON ST, CLARKSVILLE, TN 37043-5066
(931) 647-5034
(931) 552-6663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD9762
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3841971
—
TN
05
—
3890313
—
TN
05
—
3890316
—
TN
01
—
4071414
BCBS
—
01
—
4071417
BCBS PROVIDER NUMBER
—
01
—
4102645
BCBS
—
01
—
P00102072
RR MEDICARE
—
Enumeration date
03/02/2006
Last updated
07/20/2009
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