Individual
JAMES W SEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9400 RHEA COUNTY HWY, DAYTON, TN 37321-7922
(423) 775-1129
Mailing address
PO BOX 405674, ATLANTA, GA 30384-5674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1141
TN
207R00000X
Internal Medicine Physician
1141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3088316
BLUE CROSS PROVIDER NO.
TN
Enumeration date
07/13/2006
Last updated
03/17/2018
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