Individual
MR. JAMES ALLEN SUDBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
300 STONECREST BLVD STE 255, SMYRNA, TN 37167-6837
(615) 220-2982
(615) 220-2984
Mailing address
PO BOX 306025, NASHVILLE, TN 37230-6025
(615) 425-2708
(615) 370-0778
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM0000000644
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4111238
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/03/2006
Last updated
04/04/2008
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