Ravenel, James M

Ravenel, James M is an individual health care provider with primary practice located at 1962 Charlie Hall Blvd , Charleston SC 29414-5837. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ravenel, James M can be contacted via phone (843) 722-8000.

Contact Information

Primary practice address
1962 Charlie Hall Blvd Charleston SC 29414-5837
Phone: (843) 722-8000
Fax: (843) 723-7850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 6004 South Carolina

Profile Details

NPI number 1134125628
LBN Legal business name Ravenel, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 18 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 1134125628 NPPES
South Carolina MEDICAID 60043

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