Provider Demographics
NPI:1336232354
Name:LOVETTE, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:LOVETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2051 HAMILL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4653
Mailing Address - Country:US
Mailing Address - Phone:423-498-3010
Mailing Address - Fax:423-498-3011
Practice Address - Street 1:2051 HAMILL RD STE 104
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4653
Practice Address - Country:US
Practice Address - Phone:423-498-3010
Practice Address - Fax:423-498-3011
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2018-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA058981208600000X
TN44654208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSH68753Medicare UPIN