James Robert Ewing, ARRT RT

Individual provider Active NPI Radiography Radiologic Technologist · Rogersville, TN

NPI 1083814263 · NPPES record last updated Jul 25, 2007

Key facts

NPI
1083814263
Entity type
Individual (NPI type 1)
Primary specialty
Radiography Radiologic Technologist 2471C3402X
License
293727 (MN)
Practice address
308 S Church St
Rogersville, TN 37857-3324
Phone
(423) 923-2201
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
293727MNMDRadiography Radiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 293727 MN Yes

Addresses

Primary practice location

308 S Church St
Rogersville, TN 37857-3324

Mailing address

308 S Church St
Rogersville, TN 37857-3324
Phone (423) 923-2201

Other providers in Rogersville, TN

All providers in Rogersville, TN · Radiography Radiologic Technologist in Tennessee

Sources for this page

Verify at the official NPI Registry.