BEGIN:VCARD VERSION:3.0 FN:James Downing\, MD N:Downing;James;;;MD TITLE:Anatomic Pathology Physician TEL;TYPE=WORK,VOICE:+19014953006 URL:https://www.gale.care/providers/tn/memphis/james-downing-md-1043214521 NOTE:NPI 1043214521. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1043214521 END:VCARD