Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 44746 | TN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 44746 | TN |
NPI | 1225246044 |
---|---|
Provider Name | James C Sherrell |
First Address | Knoxville, TN 37909-1293 |
Second Address | Knoxville, TN 37909-1293 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 29/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1514575 | (05) | TN |
4235477 | BLUECROSS BLUESHIELD (01) | TN |
9594155 | AETNA (01) | |
P00762958 | RAILROAD MEDICARE (01) | TN |