Doctor Name: | MR. JAMES ROBERT EWING |
NPI Number: | 1083814263 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARRT RT |
License Number: | 293727 |
Business Practice Address: | 308 S Church St Rogersville, TN - 378573324 |
Business Phone Number: | 4239232201 |
Business Fax Number: | |
Mailing Address: | 308 S Church St, ROGERSVILLE |
State: | TN |
Postal Code: | 378573324 |
Phone Number: | 4239232201 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | 293727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |