Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 58819 | TN |
NPI | 1033552492 |
---|---|
Provider Name | Deirdre Jocelyn James |
First Address | Memphis, TN 38163-0001 |
Second Address | Memphis, TN 38163-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 26/07/2019 |