Stephenson, James Edmond

Stephenson, James Edmond is an individual health care provider with primary practice located at 890 W Faris Rd Suite 320, Greenville SC 29605-4253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Stephenson, James Edmond can be contacted via phone (864) 455-1200.

Contact Information

Primary practice address
890 W Faris Rd Suite 320 Greenville SC 29605-4253
Phone: (864) 455-1200
Fax: (864) 455-1209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 10394 South Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 10394 South Carolina

Profile Details

NPI number 1821043092
LBN Legal business name Stephenson, James Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated May 20th, 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 1821043092 NPPES
South Carolina Other P00817204 RR MEDICARE
South Carolina MEDICAID 103943 RR MEDICARE

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