Healthcare Provider Details
I. General information
NPI: 1841292661
Provider Name (Legal Business Name): WILLIAM A JAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 08/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
391 SERPENTINE DR STE. 400
SPARTANBURG SC
29303-3096
US
IV. Provider business mailing address
391 SERPENTINE DR STE. 400
SPARTANBURG SC
29303-3096
US
V. Phone/Fax
- Phone: 864-583-5312
- Fax: 864-582-1935
- Phone: 864-583-5312
- Fax: 864-582-1935
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 14714 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: