Proffitt, James David
Proffitt, James David is an individual health care provider with primary practice located at 701 Morganton Square Dr , Maryville TN 37801-4796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Proffitt, James David can be contacted via phone (865) 984-6823.Contact Information
Primary practice address
701 Morganton Square Dr
Maryville TN 37801-4796
Phone: (865) 984-6823
Fax: (865) 984-0824
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25052 | Tennessee |
Profile Details
NPI number | 1871542233 |
---|---|
LBN Legal business name | Proffitt, James David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Dec 11th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871542233 | NPPES |
Tennessee | Other | 3714826 | MEDICARE GROUP |
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