Provider Demographics
NPI:1841239837
Name:WHYNOT, JAMES I (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:I
Last Name:WHYNOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:325 ROCKY SLOPE RD
Mailing Address - Street 2:STE 104-105
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:648-990-1334
Mailing Address - Fax:877-219-7586
Practice Address - Street 1:325 ROCKY SLOPE RD
Practice Address - Street 2:STE 104-105
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-990-1334
Practice Address - Fax:877-219-7586
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI11897207R00000X
AK6911207R00000X
SCMD89003207R00000X
PAMD486392207R00000X
FLME89529207R00000X, 208M00000X
MA46196207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA34128Medicare UPIN