Provider Demographics
NPI:1841291887
Name:LINDSEY, JAMES MELVIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MELVIN
Last Name:LINDSEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8030 MYRTLE TRACE DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-8957
Mailing Address - Country:US
Mailing Address - Phone:843-347-4677
Mailing Address - Fax:843-347-4678
Practice Address - Street 1:8030 MYRTLE TRACE DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-8957
Practice Address - Country:US
Practice Address - Phone:843-347-4677
Practice Address - Fax:843-347-4678
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC7486208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC074868Medicaid
SC7486OtherLICENSE
SCD47059Medicare UPIN
SC074868Medicaid