Provider Demographics
NPI:1407805963
Name:KEY, JAMES BARTLETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BARTLETTE
Last Name:KEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:554 MEMORIAL DRIVE EXT
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1155
Mailing Address - Country:US
Mailing Address - Phone:864-879-3883
Mailing Address - Fax:864-848-3492
Practice Address - Street 1:554 MEMORIAL DRIVE EXT
Practice Address - Street 2:SUITE C
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1155
Practice Address - Country:US
Practice Address - Phone:864-879-3883
Practice Address - Fax:864-848-3492
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC74502080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC074500Medicaid