Provider Demographics
NPI:1649362914
Name:SLEMMER, JAMES R (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:SLEMMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5301 VIRGINIA WAY
Mailing Address - Street 2:STE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7541
Mailing Address - Country:US
Mailing Address - Phone:615-221-4474
Mailing Address - Fax:615-234-3774
Practice Address - Street 1:5301 VIRGINIA WAY
Practice Address - Street 2:STE 300
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7541
Practice Address - Country:US
Practice Address - Phone:615-221-4474
Practice Address - Fax:615-234-3774
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TN40515207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN000000036439OtherTLC TENNCARE
GA10057940OtherAMERIGROUP MEDICAID GACMO
KY64115140Medicaid
TN182928OtherUNISON TENNCARE
GA335779OtherWELLCARE MEDICAID GA CMO
TN4117600OtherBLUE CROSS
TN3336520Medicaid
NC5903374Medicaid
TN182928OtherUNISON TENNCARE
GA10057940OtherAMERIGROUP MEDICAID GACMO