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NPI Code Detail

MEDICARE: JAMES E MASTERS MD

MEDICARE:   JAMES E MASTERS  MD
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
1207L00000XAnesthesiology Physician21759TN

Other Identifiers

General Provider Information

NPI Number : 1447251269
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E MASTERS MD
Provider Business Mailing Address
First Line : 4105 FORT HENRY DR
Second Line : SUITE 207
City : KINGSPORT
State : TN
Zip : 37663-2240
Country : US
Telephone Number : 423-239-5833
Fax Number : 423-239-9789
Provider Business Practice Location Address
First Line : 4105 FORT HENRY DR
Second Line : SUITE 207
City : KINGSPORT
State : TN
Zip : 37663-2240
Country : US
Telephone Number : 423-239-5833
Fax Number : 423-239-9789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/11/2007

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Directions to “ JAMES E MASTERS MD” Practice Location

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