MEDICARE: JAMES RYAN ALTMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	32865	SC
2	207RC0000X	Cardiovascular Disease Physician	32865	SC
3	207RI0011X	Interventional Cardiology Physician	32865	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	GP1908	OTHER	SC	GROUP MCAID

General Provider Information

NPI Number	:	1194928457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RYAN ALTMAN M.D.

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE STE 300
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2899
Country	:	US
Telephone Number	:	864-522-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N SUMTER ST STE 202
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-4975
Country	:	US
Telephone Number	:	803-774-9797
Fax Number	:	803-933-3012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	04/07/2025

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