Provider Demographics
NPI:1285193201
Name:GUBITOSA, JAMES CHARLES (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHARLES
Last Name:GUBITOSA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:919 E CENTRAL AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-2778
Mailing Address - Country:US
Mailing Address - Phone:423-907-1740
Mailing Address - Fax:423-907-1743
Practice Address - Street 1:919 E CENTRAL AVE STE 102
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2778
Practice Address - Country:US
Practice Address - Phone:423-907-1740
Practice Address - Fax:423-907-1743
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY56349207R00000X
TNDO6220207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine