Provider Demographics
NPI:1629066014
Name:BEGLEY, JAMES KEITH (DPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KEITH
Last Name:BEGLEY
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WELLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-1076
Mailing Address - Country:US
Mailing Address - Phone:423-378-3546
Mailing Address - Fax:423-272-2376
Practice Address - Street 1:921 E MAIN ST
Practice Address - Street 2:SUITE #2
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-2837
Practice Address - Country:US
Practice Address - Phone:423-272-0777
Practice Address - Fax:423-272-2376
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist