MEDICARE: JAMES A FURSE JR. 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	207Q00000X	Family Medicine Physician	6666	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

General Provider Information

NPI Number	:	1295756377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A FURSE JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60099
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0099
Country	:	US
Telephone Number	:	803-431-8220
Fax Number	:	803-431-8221

Provider Business Practice Location Address
First Line	:	7666 CHARLOTTE HWY
Second Line	:	SUITE 120
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-7000
Country	:	US
Telephone Number	:	803-431-8220
Fax Number	:	803-431-8221

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/07/2023

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