Provider Demographics
NPI:1144218942
Name:GUIDER, JAMES PERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PERRY
Last Name:GUIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9000 HUFFS FERRY RD N
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-5914
Mailing Address - Country:US
Mailing Address - Phone:865-988-3781
Mailing Address - Fax:865-458-9906
Practice Address - Street 1:616 WARD AVE
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1323
Practice Address - Country:US
Practice Address - Phone:865-458-5666
Practice Address - Fax:865-458-9906
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000012939208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3183016Medicaid
TNB04054Medicare UPIN