Tison, James Harmon

Tison, James Harmon is an individual health care provider with primary practice located at 1085 Plaza Ave Ste B , Eastman GA 31023-9102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Tison, James Harmon can be contacted via phone (478) 374-5582.

Contact Information

Primary practice address
1085 Plaza Ave Ste B Eastman GA 31023-9102
Fax: (478) 374-3756
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 015516 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 015516 Georgia

Profile Details

NPI number 1417022070
LBN Legal business name Tison, James Harmon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Aug 8th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417022070 NPPES
Other 52044058 BCBS
Other 407111537 BCBS
MEDICAID 000091011A BCBS

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