Healthcare Provider Details

I. General information

NPI: 1609389923
Provider Name (Legal Business Name): JAMES BERTRAM SOLOMON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 11/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8029 RAY MEARS BLVD STE 300
KNOXVILLE TN
37919-2710
US

IV. Provider business mailing address

8029 RAY MEARS BLVD STE 300
KNOXVILLE TN
37919-2710
US

V. Phone/Fax

Practice location:
  • Phone: 865-337-5574
  • Fax: 865-313-2461
Mailing address:
  • Phone: 865-337-5574
  • Fax: 865-313-2461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1800
License Number StateTN

VIII. Authorized Official

Name: MR. JAMES BERTRAM SOLOMON JR.
Title or Position: OWNER
Credential: DC
Phone: 865-337-5574