Provider Demographics
NPI:1215189576
Name:JAMEL, CALVIN CARTER JR (RPA/RA/RT)
Entity Type:Individual
Prefix:MR
First Name:CALVIN
Middle Name:CARTER
Last Name:JAMEL
Suffix:JR
Gender:M
Credentials:RPA/RA/RT
Other - Prefix:
Other - First Name:SYLVESTER
Other - Middle Name:CALVIN
Other - Last Name:CARTER
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:RPA/RA/RT
Mailing Address - Street 1:1912 STREAMFIELD CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5753
Mailing Address - Country:US
Mailing Address - Phone:615-491-1281
Mailing Address - Fax:
Practice Address - Street 1:1912 STREAMFIELD CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-5753
Practice Address - Country:US
Practice Address - Phone:615-491-1281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN338071247100000X, 2471C3401X, 2471M1202X, 2471C3402X, 2471V0106X
TN08TN1371243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography
No2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional Technology