| Doctor Name: | DR. JAMES MICHAEL PREVOST |
| NPI Number: | 1467441626 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EDD, LAT, ATC |
| License Number: | 0391 |
| Business Practice Address: | Shelby Bone And Joint Clinic, Pa 807 Schenck St, Suite 2 Shelby, NC - 281505041 |
| Business Phone Number: | 7044827311 |
| Business Fax Number: | |
| Mailing Address: | 711 W Marion St, SHELBY |
| State: | NC |
| Postal Code: | 281505041 |
| Phone Number: | 7044843746 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 09/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0391 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |