Healthcare Provider Details

I. General information

NPI: 1649362914
Provider Name (Legal Business Name): JAMES R. SLEMMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 VIRGINIA WAY STE 300
BRENTWOOD TN
37027-7541
US

IV. Provider business mailing address

5301 VIRGINIA WAY STE 300
BRENTWOOD TN
37027-7541
US

V. Phone/Fax

Practice location:
  • Phone: 615-221-4474
  • Fax: 615-234-3774
Mailing address:
  • Phone: 615-221-4474
  • Fax: 615-234-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number40515
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: