Provider Demographics
NPI:1134938772
Name:WILLIAMSON, JAMES A (CPOA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:CPOA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 N FANT ST STE A
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5705
Mailing Address - Country:US
Mailing Address - Phone:864-622-0900
Mailing Address - Fax:
Practice Address - Street 1:790 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3047
Practice Address - Country:US
Practice Address - Phone:864-989-1946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICPOA0038224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist