Healthcare Provider Details
I. General information
NPI: 1609970797
Provider Name (Legal Business Name): JAMES A GAUME MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/11/2006
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4230 HARDING RD STE 527
NASHVILLE TN
37205
US
IV. Provider business mailing address
4230 HARDING RD STE 527
NASHVILLE TN
37205
US
V. Phone/Fax
- Phone: 615-386-3067
- Fax: 615-385-0612
- Phone: 615-386-3067
- Fax: 615-385-0612
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | MD020557 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: