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NPI Code Detail

MEDICARE: JAMES VANJURA M.D.

MEDICARE: JAMES VANJURA 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
1207Q00000XFamily Medicine Physician24546NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080121718OTHERSCRAILROAD MEDICARE
3080166310OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
535853OTHERSCMEDCOST

General Provider Information

NPI Number : 1437120755
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES VANJURA M.D.
Provider Business Mailing Address
First Line : PO BOX 743070
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3070
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 444 NC 108 HWY
Second Line :
City : RUTHERFORDTON
State : NC
Zip : 28139-7871
Country : US
Telephone Number : 828-286-2302
Fax Number : 828-287-4320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 05/18/2021

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Directions to “ JAMES VANJURA M.D.” Practice Location

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