MEDICARE: JAMES H. MARSHALL M.D.

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
1	208800000X	Urology Physician	16370	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710955034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H. MARSHALL M.D.

Provider Business Mailing Address
First Line	:	854 W JAMES CAMPBELL BLVD
Second Line	:	SUITE 303
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4659
Country	:	US
Telephone Number	:	931-388-9706
Fax Number	:	931-490-1062

Provider Business Practice Location Address
First Line	:	1222 TROTWOOD AVE
Second Line	:	SUITE 601
City	:	COLUMBIA
State	:	TN
Zip	:	38401-6436
Country	:	US
Telephone Number	:	931-840-8547
Fax Number	:	931-840-4726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2006
Last Update Date	:	03/08/2016

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