MEDICARE: DR. JAMES MARTIN MCLOUGHLIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086X0206X	Surgical Oncology Physician	059478	GA

General Provider Information

NPI Number	:	1376745653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MARTIN MCLOUGHLIN M.D.

Provider Business Mailing Address
First Line	:	1934 ALCOA HWY
Second Line	:	SUITE 476
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-544-9218
Fax Number	:	865-305-8262

Provider Business Practice Location Address
First Line	:	1934 ALCOA HWY
Second Line	:	SUITE 476
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-544-9218
Fax Number	:	865-305-8262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	04/04/2012

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