Individual
DR. CLIFFORD DALE JAMES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 OAK RIDGE TPKE, STE 120, OAK RIDGE, TN 37830-7100
(865) 483-5678
(865) 483-4027
Mailing address
102 DANBURY LN, OAK RIDGE, TN 37830-7600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD33918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4035193
BLUE CROSS BLUE SHIELD
TN
05
—
5440527
—
TN
Enumeration date
04/25/2006
Last updated
05/30/2008
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