Provider Demographics
NPI:1063976256
Name:FRAZIER, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 280523
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-0523
Mailing Address - Country:US
Mailing Address - Phone:615-823-3334
Mailing Address - Fax:615-876-0249
Practice Address - Street 1:629 MOORMANS ARM RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-3618
Practice Address - Country:US
Practice Address - Phone:615-823-3334
Practice Address - Fax:615-876-0249
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker