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NPI Code Detail

MEDICARE: DR. JAMES N GOLDMAN DC

MEDICARE: DR. JAMES N GOLDMAN DC
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
1111N00000XChiropractorDC2053TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14119831OTHERTNBLUE CROSS PROVIDER NO.

General Provider Information

NPI Number : 1811936610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES N GOLDMAN DC
Provider Business Mailing Address
First Line : PO BOX 4640
Second Line :
City : CLEVELAND
State : TN
Zip : 37320-4640
Country : US
Telephone Number : 423-614-0884
Fax Number : 423-614-0882
Provider Business Practice Location Address
First Line : 1060 WILLIAM WAY NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4369
Country : US
Telephone Number : 423-614-0884
Fax Number : 423-614-0882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/09/2007

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