Healthcare Provider Details

I. General information

NPI: 1164403945
Provider Name (Legal Business Name): JAMES S STROHECKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2739 LAUREL ST SUITE 1-A
COLUMBIA SC
29204-2028
US

IV. Provider business mailing address

PO BOX 402145
ATLANTA GA
30384-2145
US

V. Phone/Fax

Practice location:
  • Phone: 803-799-4800
  • Fax: 803-256-0395
Mailing address:
  • Phone: 803-799-3737
  • Fax: 803-296-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number9524
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: