Individual
DR. JOSE JAVIER PRATTS EMANUELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2012-00419
NC
2085R0202X
Diagnostic Radiology Physician
Primary
50273
TN
2085R0202X
Diagnostic Radiology Physician
57.014417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353892
BCBS
TN
01
—
4353899
BCBS
TN
01
—
4354245
BCBS
TN
Enumeration date
03/17/2008
Last updated
11/30/2017
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