Provider Demographics
NPI:1457392433
Name:JOLLEY, JAMES E II (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:JOLLEY
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:281 NORTH LYERLY STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404
Mailing Address - Country:US
Mailing Address - Phone:423-693-2175
Mailing Address - Fax:888-959-1015
Practice Address - Street 1:281 NORTH LYERLY STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404
Practice Address - Country:US
Practice Address - Phone:423-693-2175
Practice Address - Fax:888-959-1015
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD31776207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD31776OtherSTATE LICENSE
TNH30379Medicare UPIN
TN103I202332Medicare PIN