Stallworth, James R
Stallworth, James R is an individual health care provider with primary practice located at 14 Medical Park Rd Suite 400, Columbia SC 29203-6877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stallworth, James R can be contacted via phone (803) 255-3422.Contact Information
Primary practice address
14 Medical Park Rd Suite 400
Columbia SC 29203-6877
Phone: (803) 255-3422
Fax: (803) 255-3451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9582 | South Carolina |
Profile Details
| NPI number | 1720017346 |
|---|---|
| LBN Legal business name | Stallworth, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 3rd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720017346 | NPPES |
| South Carolina | MEDICAID | 95827 |
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