Charles, James C
Charles, James C is an sole proprietor health care provider with primary practice located at 455 Lakeshore Pkwy , Rock Hill SC 29730-4205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Charles, James C can be contacted via phone (803) 909-6363.Contact Information
Primary practice address
455 Lakeshore Pkwy
Rock Hill SC 29730-4205
Phone: (803) 909-6363
Fax: (803) 325-2984
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22318 | South Carolina |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 22318 | South Carolina |
Profile Details
NPI number | 1962405316 |
---|---|
LBN Legal business name | Charles, James C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 31st, 2005 |
Last updated | Oct 5th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962405316 | NPPES |
South Carolina | MEDICAID | 223181 |
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