Individual
JAMES G STAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
753B HUMBLE DR, COOKEVILLE, TN 38501-3777
(931) 520-1800
(931) 520-1844
Mailing address
753 HUMBLE DR STE B, COOKEVILLE, TN 38501-4202
(931) 520-1800
(931) 520-1844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000000995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3083924
BCBS PROVIDER NUMBER
TN
01
—
621531056
TAX ID
TN
Enumeration date
08/29/2006
Last updated
11/28/2023
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