Provider Demographics
NPI:1750316436
Name:GIGANTE, JAMES F (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:GIGANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:35 BILL FRIES DR
Mailing Address - Street 2:BUILDING H
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2730
Mailing Address - Country:US
Mailing Address - Phone:843-681-2222
Mailing Address - Fax:843-681-4721
Practice Address - Street 1:35 BILL FRIES DR
Practice Address - Street 2:BUILDING H
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2730
Practice Address - Country:US
Practice Address - Phone:843-681-2222
Practice Address - Fax:843-681-4721
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC23368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC571105505OtherBLUE CROSS BLUE SHIELD
SC110240415OtherRAILROAD MEDICARE
SC6896OtherPTAN
SC233688Medicaid
SCH173906896Medicare ID - Type Unspecified
SC6896OtherPTAN