Basic Information
Provider Information
NPI: 1447423793
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOSS
FirstName: JAMES
MiddleName: T
NamePrefix:  
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1932 ALCOA HWY STE 255
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379201508
CountryCode: US
TelephoneNumber: 8652442030
FaxNumber: 8656841196
Practice Location
Address1: 1932 ALCOA HWY STE 255
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379201508
CountryCode: US
TelephoneNumber: 8652442030
FaxNumber: 8656841196
Other Information
ProviderEnumerationDate: 04/08/2008
LastUpdateDate: 01/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X2008-00450NCN Allopathic & Osteopathic PhysiciansOphthalmology 
207W00000XMD0000046253TNY Allopathic & Osteopathic PhysiciansOphthalmology 

ID Information
IDTypeStateIssuerDescription
P0087446901TNRR MEDICAREOTHER
426681201TNBLUECAREOTHER
978245701 AETNAOTHER
426681201TNBLUE CROSS BLUE SHIELDOTHER
152033305TN MEDICAID


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