Provider Demographics
NPI:1700811122
Name:CARSWELL, JAMES JOSEPH III (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:CARSWELL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:818 ST SEBASTIAN WAY
Mailing Address - Street 2:SUITE 403
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901
Mailing Address - Country:US
Mailing Address - Phone:706-722-0705
Mailing Address - Fax:706-722-7315
Practice Address - Street 1:818 ST SEBASTIAN WAY
Practice Address - Street 2:SUITE 403
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901
Practice Address - Country:US
Practice Address - Phone:706-722-0705
Practice Address - Fax:706-722-7315
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA13733208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
34BDDZVMedicare ID - Type Unspecified
D39560Medicare UPIN