Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | MD00000002857 | TN |
NPI | 1063910529 |
---|---|
Provider Name | Dr. James Joseph Acker I |
First Address | Loudon, TN 37774-2990 |
Second Address | Loudon, TN 37774-2990 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2018 |
Last Update Date | 30/01/2018 |