Provider Demographics
NPI:1316166507
Name:ECHOLS, JAMES ROBERT II (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:ECHOLS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:909 RIDGEWAY LOOP RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-4016
Mailing Address - Country:US
Mailing Address - Phone:901-683-1112
Mailing Address - Fax:901-683-1174
Practice Address - Street 1:909 RIDGEWAY LOOP RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4016
Practice Address - Country:US
Practice Address - Phone:901-683-1112
Practice Address - Fax:901-683-1174
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TN43481207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1505286Medicaid
TN4190648OtherBLUE CROSS BLUE SHIELD TN
TN4190648OtherBLUE CROSS BLUE SHIELD TN
TN3001532Medicare PIN
TN1505286Medicaid
TN30015321Medicare PIN