Individual
DR. JAMES EDWARD ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MCARTHUR ST, MANCHESTER, TN 37355-2522
(931) 723-7950
Mailing address
801 HUNTINGTON CIR, NASHVILLE, TN 37215-6112
(615) 943-9294
(931) 723-7815
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD17117
TN
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD17117
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4130055
BLUECROSS BLUESHEILD TN
TN
05
—
4130055
—
TN
01
—
5358058
AETNA
TN
Enumeration date
05/26/2006
Last updated
03/07/2023
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