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NPI Code Detail

MEDICARE: MR. JAMES TIMOTHY LEE ATC

MEDICARE:  MR. JAMES TIMOTHY LEE  ATC
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
12255A2300XAthletic Trainer236TN

General Provider Information

NPI Number : 1851353494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES TIMOTHY LEE ATC
Provider Business Mailing Address
First Line : 416 STONE CHIMNEY CT
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-4736
Country : US
Telephone Number : 615-460-8040
Fax Number : 615-460-5456
Provider Business Practice Location Address
First Line : 1900 BELMONT BLVD
Second Line : BELMONT ATHLETIC DEPT
City : NASHVILLE
State : TN
Zip : 37212-3758
Country : US
Telephone Number : 615-460-8040
Fax Number : 615-460-5456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JAMES TIMOTHY LEE ATC” Practice Location

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