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NPI Code Detail

MEDICARE: DR. JAMES V THATCHER M.D.

MEDICARE: DR. JAMES V THATCHER 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 PhysicianMD81806SC
2207Q00000XFamily Medicine Physician2015-01838NC
3208M00000XHospitalist PhysicianMD81806SC

General Provider Information

NPI Number : 1770812802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES V THATCHER M.D.
Provider Business Mailing Address
First Line : 955 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5454
Country : US
Telephone Number : 843-522-5005
Fax Number :
Provider Business Practice Location Address
First Line : 955 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5454
Country : US
Telephone Number : 843-522-5005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2009
Last Update Date : 11/28/2023

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