Provider Demographics
NPI:1487643045
Name:METCALFE, JAMES K (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:METCALFE
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 1:3202 AMNICOLA HWY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-1729
Mailing Address - Country:US
Mailing Address - Phone:423-886-2511
Mailing Address - Fax:
Practice Address - Street 1:3202 AMNICOLA HWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-1729
Practice Address - Country:US
Practice Address - Phone:423-886-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18166207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10057937OtherAMERIGROUP
TN4129023OtherBLUE CROSS
NC89063XFMedicaid
TN37820OtherTLC TENNCARE
GA335717OtherWELLCARE
KY64127277Medicaid
NC5904430Medicaid
TN3070250Medicaid
NC5904430Medicaid
NC89063XFMedicaid