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NPI Code Detail

MEDICARE: JAMES R. NUNLEY D.O., P.C.

MEDICARE: JAMES R. NUNLEY D.O., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician
2332B00000XDurable Medical Equipment & Medical Supplies
3208VP0014XInterventional Pain Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17268183OTHERTNAETNA PPO GROUP #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033130208
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES R. NUNLEY D.O., P.C.
Provider Business Mailing Address
First Line : PO BOX 299
Second Line :
City : MANCHESTER
State : TN
Zip : 37349-0299
Country : US
Telephone Number : 931-728-5607
Fax Number : 931-728-8354
Provider Business Practice Location Address
First Line : 2345 MURFREESBORO HWY
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-3206
Country : US
Telephone Number : 931-728-5607
Fax Number : 931-728-8354
Authorized Official
Title or Position : PRACTICE MANAGER
Name : DIANE COTHERN
Credential :
Telephone Number : 931-728-5607
Provider Enumeration Date : 07/22/2006
Last Update Date : 02/26/2026

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