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
Fax: (865) 984-0824
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871542233 NPPES
Tennessee Other 3714826 MEDICARE GROUP

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