Healthcare Provider Details
I. General information
NPI: 1538268974
Provider Name (Legal Business Name): JAMES SHELLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/22/2006
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3601 TVC
NASHVILLE TN
37232-0001
US
IV. Provider business mailing address
3601 TVC
NASHVILLE TN
37232-0001
US
V. Phone/Fax
- Phone: 615-322-3000
- Fax:
- Phone: 615-322-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | MD13089 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | MD13089 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: