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Mr. James R Boggess
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NPI Number Detailed Information
Provider Information:
| Name: | Mr. James R Boggess |
| Gender: | M |
| Provider License Number If Given: | 105486 |
NPI Information:
| NPI: | 1134128739 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 3/3/2015 |
Provider Business Mailing Address:
| Address: | VANDERBILT ANESTHESIOLOGY 1301 MEDICAL DR 4648 TVC Nashville, TN 37232 |
| Phone Number: | 6153436336 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 3601 TVC Nashville, TN 37232 |
| Phone Number: | 6153223000 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 163W00000X |
| Secondary (if any): | 367500000X |
| State: | TN |
