MEDICARE: JAMES M CAWTHORNE DPM

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	213E00000X	Podiatrist	78	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	:	1467430009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M CAWTHORNE DPM

Provider Business Mailing Address
First Line	:	1730 SAINT JULIAN PL
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2410
Country	:	US
Telephone Number	:	803-256-6776
Fax Number	:	803-256-6778

Provider Business Practice Location Address
First Line	:	3471 W MONTAGUE AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-5938
Country	:	US
Telephone Number	:	843-553-2235
Fax Number	:	843-553-2275

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	11/29/2013

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