Healthcare Provider Details
I. General information
NPI: 1093092066
Provider Name (Legal Business Name): JAMES R. MCFERRIN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2011
Last Update Date: 11/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2011 ASHWOOD AVE
NASHVILLE TN
37212-5015
US
IV. Provider business mailing address
2011 ASHWOOD AVE
NASHVILLE TN
37212-5015
US
V. Phone/Fax
- Phone: 615-383-4694
- Fax: 615-383-0228
- Phone: 615-383-4694
- Fax: 615-383-0228
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
R.
MCFERRIN
Title or Position: MD, PC
Credential: MD
Phone: 615-383-4694