Provider Demographics
NPI:1811907579
Name:JAMES, JOHN M (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:44 ALIANT PARKWAY
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35011-0789
Mailing Address - Country:US
Mailing Address - Phone:256-234-4131
Mailing Address - Fax:256-234-9979
Practice Address - Street 1:44 ALIANT PKWY
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3426
Practice Address - Country:US
Practice Address - Phone:256-234-4131
Practice Address - Fax:256-234-9979
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00006314207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051527993OtherBLUECROSSBLUESHIELD
AL63-0685246OtherPRICARE,PA TAX ID
AL000027993Medicaid
ALP00236574OtherRAILROAD MEDICARE
AL000027993Medicaid
ALP00236574OtherRAILROAD MEDICARE