Provider Demographics
NPI:1114024031
Name:GAINER, JAMES SAMUEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SAMUEL
Last Name:GAINER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4700 WATERS AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-355-0070
Mailing Address - Fax:912-355-3220
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-355-0070
Practice Address - Fax:912-355-3220
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-02-11
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Provider Licenses
StateLicense IDTaxonomies
GA20313207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00242547AMedicaid
GAD39909Medicare UPIN
GA00242547AMedicaid