Provider Demographics
NPI:1073559803
Name:MCCLURE, JAMES THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:THOMAS
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7000
Mailing Address - Fax:
Practice Address - Street 1:356 24TH AVE N
Practice Address - Street 2:STE 200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1514
Practice Address - Country:US
Practice Address - Phone:615-329-2225
Practice Address - Fax:615-329-3242
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27287174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS12761OtherMISSISSIPPI MED LICENSE
HI13619OtherHAWAII MEDICAL LICENSE
MO2004018268OtherMISSOURI MEDICAL LICENSE
NC9600178OtherNC MEDICAL LICENSE NUMBER
GA037291OtherGEORGIA MEDICAL LICENSE
TN27287OtherTN MEDICAL LICENSE NUMBER
TN27287OtherTN MEDICAL LICENSE NUMBER
HI13619OtherHAWAII MEDICAL LICENSE