Provider Demographics
NPI:1114981560
Name:APPLETON, JAMES ROY III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROY
Last Name:APPLETON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:18 GOLDEN POND CV
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-7564
Mailing Address - Country:US
Mailing Address - Phone:731-307-7312
Mailing Address - Fax:731-410-6156
Practice Address - Street 1:164 W UNIVERSITY PKWY STE A
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-1621
Practice Address - Country:US
Practice Address - Phone:731-215-1135
Practice Address - Fax:731-410-6156
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN56098207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514036Medicaid
TN382172Medicaid
TN1514036Medicaid
TNG64319Medicare UPIN
TN382172Medicaid