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NPI Code Detail

MEDICARE: DR. JAMES A O'LEARY M.D.

MEDICARE: DR. JAMES A O'LEARY 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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician21997SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346241502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES A O'LEARY M.D.
Provider Business Mailing Address
First Line : 1910 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3520
Country : US
Telephone Number : 803-256-4107
Fax Number : 803-253-6655
Provider Business Practice Location Address
First Line : 1910 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3520
Country : US
Telephone Number : 803-256-4107
Fax Number : 803-253-6655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 05/13/2019

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Directions to “ DR. JAMES A O'LEARY M.D.” Practice Location

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