Mitchum, James R

Mitchum, James R is an individual health care provider with primary practice located at 1265 Union Ave , Memphis TN 38104-3415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mitchum, James R can be contacted via phone (901) 726-7358.

Contact Information

Primary practice address
1265 Union Ave Memphis TN 38104-3415
Phone: (901) 726-7358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17166 Tennessee

Profile Details

NPI number 1215930185
LBN Legal business name Mitchum, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215930185 NPPES
Tennessee MEDICAID 3027741

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