Healthcare Provider Details

I. General information

NPI: 1033138359
Provider Name (Legal Business Name): JAMES D WELSH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1583 HEALTH CARE DR
ROCK HILL SC
29732-3858
US

IV. Provider business mailing address

2981 ELLINGTON DR
ROCK HILL SC
29732-9486
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-7772
  • Fax: 803-329-9821
Mailing address:
  • Phone: 803-329-9832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number13388
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: