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NPI Code Detail

MEDICARE: JAMESTOWN INTERNAL MEDICINE P.C.

MEDICARE: JAMESTOWN INTERNAL MEDICINE 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1619016581
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMESTOWN INTERNAL MEDICINE P.C.
Provider Business Mailing Address
First Line : PO BOX 98
Second Line :
City : JAMESTOWN
State : TN
Zip : 38556-0098
Country : US
Telephone Number : 931-879-5864
Fax Number : 931-879-1402
Provider Business Practice Location Address
First Line : 100 S DUNCAN ST
Second Line :
City : JAMESTOWN
State : TN
Zip : 38556-3009
Country : US
Telephone Number : 931-879-5864
Fax Number : 931-879-1402
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD DOUGLAS SMITH
Credential : M.D.
Telephone Number : 931-879-5864
Provider Enumeration Date : 02/06/2007
Last Update Date : 11/04/2013

Similar Medicare Providers

1962406793 — DR. RICHARD GARY CLARK MD
Practice Location Address:
100 S DUNCAN ST
JAMESTOWN, TN
38556-3009
Practice Phone: 931-879-5864
Practice Fax: 931-879-3903
1497752760 — DR. FANI B MANNEY M.D.
Practice Location Address:
100 S DUNCAN ST
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38556-3009
Practice Phone: 931-879-5864
Practice Fax:
1538141221 — MS. LYNDA ANN GREEN CNP GNP
Practice Location Address:
100 S DUNCAN ST
JAMESTOWN, TN
38556-3009
Practice Phone: 931-879-5864
Practice Fax:
1649224783 — MRS. LAURA JEAN LATA ANP
Practice Location Address:
100 S DUNCAN ST
JAMESTOWN, TN
38556-3009
Practice Phone: 931-879-5864
Practice Fax: 931-879-3903
1760422943 — JOSEPH PAYANT
Practice Location Address:
100 S DUNCAN ST
JAMESTOWN, TN
38556-3009
Practice Phone: 931-839-5864
Practice Fax: 931-879-3903
1427069749 — MR. JOHNNY WAYNE PRESLEY PAC
Practice Location Address:
100 S DUNCAN ST
JAMESTOWN, TN
38556-3009
Practice Phone: 931-879-5864
Practice Fax: 931-879-3903

Directions to “JAMESTOWN INTERNAL MEDICINE P.C. ” Practice Location

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