Organization
JOHN JASON JAMES, DO, LLC
Active
Other names
Sango Internal Medicine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JASON JAMES D.O. (SOLE MEMBER)
(931) 237-7691
Entity
Organization
Contact information
Practice address
662 SANGO RD, SUITE C, CLARKSVILLE, TN 37043-5978
(931) 245-1500
(931) 245-1544
Mailing address
662 SANGO RD, SUITE C, CLARKSVILLE, TN 37043-5978
(931) 245-1500
(931) 245-1544
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
DO1628
TN
261QP2300X
Primary Care Clinic/Center
Primary
DO 1628
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073594099
DIRECTING PHYSICIAN'S INDIVIDUAL NPI
TN
Enumeration date
03/17/2009
Last updated
12/19/2011
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