Provider Demographics
NPI:1043212194
Name:PIFER, JAMES WM (BSPHARM,DPM,JD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WM
Last Name:PIFER
Suffix:
Gender:M
Credentials:BSPHARM,DPM,JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 OLDE MILL LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-2942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1022 OLDE MILL LN
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-2942
Practice Address - Country:US
Practice Address - Phone:423-842-6687
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN958183500000X
TN330213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist