Provider Information for 1457695538
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JAMES ROBERT WARD L.P.C.
Sex: Male
NPI: 1457695538
Last Updated: 2015-08-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1457695538 | ||||||||||||
| Enumeration Date | 2012-11-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10412 TWISTING PINE LN LAKELAND, TN 38002-4685 United States Phone: 901-275-5797 | Fax: | ||||||||||||
| Primary Practice Address | 2400 POPLAR AVE MEMPHIS, TN 38112-3213 United States Phone: 901-206-2222 | Fax:901-206-2223 | ||||||||||||
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