Provider Demographics
NPI:1346280807
Name:EARLY, JAMES HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HOWARD
Last Name:EARLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:997 OLD US HWY 70 W STE A
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-4505
Mailing Address - Country:US
Mailing Address - Phone:828-298-7981
Mailing Address - Fax:828-298-6010
Practice Address - Street 1:997 OLD US HWY 70 W STE A
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-4505
Practice Address - Country:US
Practice Address - Phone:828-298-7981
Practice Address - Fax:828-298-6010
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200201456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891324GMedicaid
NC080194066OtherRAILROAD MEDICARE
NCB87667Medicare UPIN