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NPI Code Detail

MEDICARE: DR. JAMES W CATES JR. MD

MEDICARE: DR. JAMES W CATES JR. MD
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
1207Q00000XFamily Medicine Physician17419TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BCBSOTHERTN4129231

General Provider Information

NPI Number : 1073517892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES W CATES JR. MD
Provider Business Mailing Address
First Line : 1120 SAMS ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-4006
Country : US
Telephone Number : 931-528-7312
Fax Number : 931-528-7377
Provider Business Practice Location Address
First Line : 1120 SAMS ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-4006
Country : US
Telephone Number : 931-528-7312
Fax Number : 931-528-7377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/09/2007

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