Healthcare Provider Details

I. General information

NPI: 1821626359
Provider Name (Legal Business Name): SAMUEL JAMES DUGGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 RICHLAND AVE W
AIKEN SC
29801-6311
US

IV. Provider business mailing address

3515 RICHLAND AVE W
AIKEN SC
29801-6311
US

V. Phone/Fax

Practice location:
  • Phone: 803-502-5527
  • Fax:
Mailing address:
  • Phone: 803-502-5527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number112861
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number97613
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: