Individual
MR. JAMES WITHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1995 HIGHWAY 51 S, COVINGTON, TN 38019-3635
(901) 475-4550
Mailing address
PO BOX 1000 DEPT 931, MEMPHIS, TN 38148-0001
(901) 382-1200
(901) 382-8070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000009553
TN
Other
Enumeration date
09/26/2006
Last updated
09/07/2010
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