Healthcare Provider Details

I. General information

NPI: 1235145459
Provider Name (Legal Business Name): JAMES M REED DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 W BADDOUR PKWY
LEBANON TN
37087-2513
US

IV. Provider business mailing address

1407 W BADDOUR PKWY
LEBANON TN
37087-2513
US

V. Phone/Fax

Practice location:
  • Phone: 615-444-6203
  • Fax: 615-444-6252
Mailing address:
  • Phone: 615-444-6203
  • Fax: 615-444-6252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1651
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number1651
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberDO1651
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: