Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD12591 | SC |
NPI | 1023274354 |
---|---|
Provider Name | James Fletcher Spann |
First Address | Charleston, SC 29412-9134 |
Second Address | Charleston, SC 29412-9134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |