Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 14509 | SC |
Y | 208600000X | Surgeon | 14509 | SC |
N | 2086S0127X | Trauma Surgeon | 14509 | SC |
NPI | 1396702254 |
---|---|
Provider Name | Dr. James Maurice Nottingham |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 09/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145097 | (05) | SC |
F33523 | (02) |