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Individual

JAMES RICHARD DISMUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 844-1431
Mailing address
6263 POPLAR AVE, SUITE 1052, MEMPHIS, TN 38119-4701
(901) 844-1431

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27722
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3804600
TN
01
4123421
BCBS OF TN
TN
Enumeration date
05/19/2006
Last updated
04/18/2023
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