Timmons, James M

Timmons, James M is an individual health care provider with primary practice located at 216 E Marion St , Kershaw SC 29067-1442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Timmons, James M can be contacted via phone (803) 475-3475.

Contact Information

Primary practice address
216 E Marion St Kershaw SC 29067-1442
Phone: (803) 475-3475
Fax: (803) 475-5360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8078 South Carolina

Profile Details

NPI number 1710968011
LBN Legal business name Timmons, James M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 24th, 2012 - about 13 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 1710968011 NPPES
South Carolina Other 198844 MEDCOST PIN
South Carolina Other P00416733 MEDCOST PIN
South Carolina MEDICAID 080780 MEDCOST PIN

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