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NPI Code Detail

MEDICARE: JAMES DAVID SPEARMAN M.D.

MEDICARE:   JAMES DAVID SPEARMAN  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) Physician16379SC
2207X00000XOrthopaedic Surgery Physician16379SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
320076508OTHERSCSELECT HEALTH DME
4570634057OTHERSCTAX ID
5621997OTHERSCSELECT HLTH
6200024309OTHERSCRRMCARE

General Provider Information

NPI Number : 1699704213
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DAVID SPEARMAN M.D.
Provider Business Mailing Address
First Line : 2880 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9171
Country : US
Telephone Number : 843-797-5050
Fax Number : 843-797-3633
Provider Business Practice Location Address
First Line : 2880 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9171
Country : US
Telephone Number : 843-797-5050
Fax Number : 843-797-3633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 03/11/2020

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Directions to “ JAMES DAVID SPEARMAN M.D.” Practice Location

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