Provider Demographics
NPI:1710165782
Name:LEDFORD, JAMES LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEE
Last Name:LEDFORD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 DOCTORS DR
Mailing Address - Street 2:STE 200
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-4501
Mailing Address - Country:US
Mailing Address - Phone:828-586-8971
Mailing Address - Fax:828-586-4083
Practice Address - Street 1:98 DOCTORS DR
Practice Address - Street 2:STE 200
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-4501
Practice Address - Country:US
Practice Address - Phone:828-586-8971
Practice Address - Fax:828-586-4083
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC102040363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2798923CMedicare PIN