Gettys, James Boulware

Gettys, James Boulware is an individual health care provider with primary practice located at 807 N Main St , Travelers Rest SC 29690-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gettys, James Boulware can be contacted via phone (864) 455-9150.

Contact Information

Primary practice address
807 N Main St Travelers Rest SC 29690-1551
Phone: (864) 455-9150
Fax: (864) 455-9236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23704 South Carolina

Profile Details

NPI number 1912940586
LBN Legal business name Gettys, James Boulware
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 13th, 2023 - about 2 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 1912940586 NPPES
South Carolina Other 4366991 AETNA
South Carolina MEDICAID 237041 AETNA
South Carolina Other 571004971008 AETNA
South Carolina Other 9541437 AETNA
South Carolina Other P00233374 AETNA

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