Tankersley, James B

Tankersley, James B is an individual health care provider with primary practice located at 4103 E North St , Greenville SC 29615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Tankersley, James B can be contacted via phone (864) 268-6417.

Contact Information

Primary practice address
4103 E North St Greenville SC 29615
Phone: (864) 268-6417
Fax: (864) 268-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2600 South Carolina

Profile Details

NPI number 1790720043
LBN Legal business name Tankersley, James B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
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 1790720043 NPPES
South Carolina MEDICAID Z26008

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