Whitehead, James Dudley

Whitehead, James Dudley is an individual health care provider with primary practice located at 2720 Sunset Blvd Radiology Department, West Columbia SC 29169-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Whitehead, James Dudley can be contacted via phone (803) 791-2000.

Contact Information

Primary practice address
2720 Sunset Blvd Radiology Department West Columbia SC 29169-4810
Phone: (803) 791-2000
Fax: (803) 791-2660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20-05570 South Carolina

Profile Details

NPI number 1437183852
LBN Legal business name Whitehead, James Dudley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 9th, 2013 - about 11 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 1437183852 NPPES
South Carolina MEDICAID 055709

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