James, Mary Henderson

James, Mary Henderson is an individual health care provider with primary practice located at 180 Wingo Way Suite 304, Mt Pleasant SC 29464-1810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. James, Mary Henderson can be contacted via phone (843) 884-8045.

Contact Information

Primary practice address
180 Wingo Way Suite 304 Mt Pleasant SC 29464-1810
Fax: (843) 881-5081
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 38383 South Carolina

Profile Details

NPI number 1538320924
LBN Legal business name James, Mary Henderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated May 26th, 2021 - about 3 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 1538320924 NPPES
South Carolina MEDICAID 383837

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