MEDICARE: JAMES WINSTON TRUETT 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
1	207Q00000X	Family Medicine Physician	46810	TN
2	207P00000X	Emergency Medicine Physician	46810	TN
3	207Q00000X	Family Medicine Physician	2023-03138	NC

General Provider Information

NPI Number	:	1952544249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WINSTON TRUETT JR. MD

Provider Business Mailing Address
First Line	:	294 SUMMAR DR
Second Line	:	DEPT 289
City	:	JACKSON
State	:	TN
Zip	:	38301-3915
Country	:	US
Telephone Number	:	731-423-1932
Fax Number	:	731-410-0367

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY DR
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-9646
Country	:	US
Telephone Number	:	828-227-7640
Fax Number	:

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

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	02/16/2024

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