MEDICARE: MR. JAMES MILTON FITCH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	103230	NC

General Provider Information

NPI Number	:	1306872494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES MILTON FITCH PA-C

Provider Business Mailing Address
First Line	:	2546 WARD BLVD
Second Line	:	101 E 2ND ST
City	:	WILSON
State	:	NC
Zip	:	27893
Country	:	US
Telephone Number	:	252-399-0707
Fax Number	:	252-291-7079

Provider Business Practice Location Address
First Line	:	2546 WARD BLVD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893
Country	:	US
Telephone Number	:	252-399-0707
Fax Number	:	252-291-7079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	06/11/2026

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