Provider Demographics
NPI:1437142320
Name:SINCLAIR, JAMES STANLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STANLEY
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 WESTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-3530
Mailing Address - Country:US
Mailing Address - Phone:912-383-7826
Mailing Address - Fax:
Practice Address - Street 1:306 WESTSIDE DR
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-3530
Practice Address - Country:US
Practice Address - Phone:912-383-7826
Practice Address - Fax:912-383-7299
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036457207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000612004DMedicaid
GA036457OtherSTATE LICENSE FOR GEORGIA
GA036457OtherSTATE LICENSE FOR GEORGIA
GA11BDHGKMedicare PIN