Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 30487 | SC |
NPI | 1013147925 |
---|---|
Provider Name | James Frederick Silliman |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29615-3557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2009 |
Last Update Date | 03/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
304879 | (05) | SC |