Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 20351 | TN |
NPI | 1740325992 |
---|---|
Provider Name | Dr. James T Harrison |
First Address | Knoxville, TN 37924-4501 |
Second Address | Knoxville, TN 37924-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 22/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D19036 | (02) | TN |