Healthcare Provider Details

I. General information

NPI: 1245298397
Provider Name (Legal Business Name): MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 DOUGHTY ST SUITE 500
CHARLESTON SC
29403-5736
US

IV. Provider business mailing address

125 DOUGHTY ST SUITE 500
CHARLESTON SC
29403-5736
US

V. Phone/Fax

Practice location:
  • Phone: 843-577-2276
  • Fax: 843-723-3324
Mailing address:
  • Phone: 843-577-2276
  • Fax: 843-723-3324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES MICHAEL ORCUTT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 843-577-2276