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Individual
JAMES D. SMITH
Active
Individual
JAMES D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5561
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055611
—
SC
01
—
576007863136
BLUECHOICE HEALTHPLAN ID
SC
01
—
576007863174
BCBS OF SC ID
SC
01
—
P00265793
RR MEDICARE
SC
Enumeration date
05/24/2006
Last updated
05/03/2008
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