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Individual

JAMES R. SLEMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
40515
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000036439
TLC TENNCARE
TN
01
10057940
AMERIGROUP MEDICAID GACMO
GA
01
182928
UNISON TENNCARE
TN
05
3336520
TN
01
335779
WELLCARE MEDICAID GA CMO
GA
01
4117600
BLUE CROSS
TN
05
5903374
NC
05
64115140
KY
Enumeration date
09/28/2006
Last updated
07/08/2007
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