DR. Jacob Halum Basham, MD

NPI #1376106682 in Gallatin, Tennessee

Provider Information

NPI Number: 1376106682
Entity Type: Individual
Name: DR. Jacob Halum Basham, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 22, 2019
Last Updated: May 22, 2024

Practice Location

Address: 648 HARTSVILLE PIKE
City: Gallatin
State: Tennessee
ZIP Code: 37066-2523
Phone: (615) 322-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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