=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124082557
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES PAUL HUGGINS JR. D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1627 S IRBY ST
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29505-3447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-665-9192
-----------------------------------------------------
Fax | 843-665-9320
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1627 S IRBY ST
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29505-3447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-665-9192
-----------------------------------------------------
Fax | 843-665-9320
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH2199
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------