Black, James Clinton

Black, James Clinton is an individual health care provider with primary practice located at 480 Floyd Rd Ste A , Spartanburg SC 29307-1518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Black, James Clinton can be contacted via phone (864) 582-2188.

Contact Information

Primary practice address
480 Floyd Rd Ste A Spartanburg SC 29307-1518
Phone: (864) 582-2188
Fax: (864) 582-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 2014000282 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 83795 South Carolina

Profile Details

NPI number 1043452741
LBN Legal business name Black, James Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2009
Last updated Nov 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043452741 NPPES
Missouri MEDICAID 1043452741
Missouri MEDICAID 837955
Missouri Other SCH6477628

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