Healthcare Provider Details

I. General information

NPI: 1902863574
Provider Name (Legal Business Name): JAMES CURTIS ABELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 A THOMAS ST
STATESVILLE NC
28677-3484
US

IV. Provider business mailing address

925 A THOMAS ST
STATESVILLE NC
28677-3484
US

V. Phone/Fax

Practice location:
  • Phone: 704-872-9595
  • Fax: 704-872-5851
Mailing address:
  • Phone: 704-872-9595
  • Fax: 704-872-5851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number15003
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: