Provider Demographics
NPI:1841292661
Name:JAMES, WILLIAM A (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:391 SERPENTINE DR
Mailing Address - Street 2:STE. 400
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3096
Mailing Address - Country:US
Mailing Address - Phone:864-583-5312
Mailing Address - Fax:864-582-1935
Practice Address - Street 1:391 SERPENTINE DR
Practice Address - Street 2:STE. 400
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3096
Practice Address - Country:US
Practice Address - Phone:864-583-5312
Practice Address - Fax:864-582-1935
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC14714207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP0151Medicaid
SC3586Medicare ID - Type Unspecified
SCGP0151Medicaid