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Individual

JAMES E MASTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4105 FORT HENRY DR, SUITE 207, KINGSPORT, TN 37663-2240
(423) 239-5833
(423) 239-9789
Mailing address
4105 FORT HENRY DR, SUITE 207, KINGSPORT, TN 37663-2240
(423) 239-5833
(423) 239-9789

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21759
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00013859
NHC CARE ADMINISTRATORS
05
0209517000
WV
01
086645
ANTHEM BCBS
05
100010702
TN
01
3045886
BLUE SHIELD OF TN
05
3081533
TN
05
5701660
VA
01
64918279
KY MEDICAID
KY
05
890574W
NC
01
TN0100
JOHN DEERE
Enumeration date
08/02/2005
Last updated
07/11/2007
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