Todd, James Michael

Todd, James Michael is an individual health care provider with primary practice located at 10317 Elven Ln , Charlotte NC 28269-6964. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Todd, James Michael can be contacted via phone (912) 230-4076.

Contact Information

Primary practice address
10317 Elven Ln Charlotte NC 28269-6964
Phone: (912) 230-4076
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003549 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03028 North Carolina

Profile Details

NPI number 1184610644
LBN Legal business name Todd, James Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 14th, 2014 - 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 1184610644 NPPES
Georgia MEDICAID 100001257A
Georgia MEDICAID 100001257D
Georgia Other 01157773

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