Healthcare Provider Details

I. General information

NPI: 1740325992
Provider Name (Legal Business Name): JAMES T HARRISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8712 ASHEVILLE HWY
KNOXVILLE TN
37924-4501
US

IV. Provider business mailing address

8712 ASHEVILLE HWY
KNOXVILLE TN
37924-4501
US

V. Phone/Fax

Practice location:
  • Phone: 865-932-3633
  • Fax: 865-932-3316
Mailing address:
  • Phone: 865-932-3633
  • Fax: 865-932-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number20351
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: