# JAMES SAMUEL BOTWRIGHT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992370019
- **Gender:** Man
- **Credential:** MT(AAB), TSO, CIC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 174H00000X | Health Educator | — | NULL | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 20122376 | CO | — |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 20122376 | CO | — |
| 207ZI0100X | Immunopathology Physician | 20122376 | CO | — |
| 207ZM0300X | Medical Microbiology Physician | 20122376 | CO | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 20122376 | CO | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 105785 | CO | Yes |
| 246QB0000X | Blood Banking Specialist/Technologist | — | NULL | — |
| 246QH0401X | Hemapheresis Practitioner | — | NULL | — |
| 246QM0706X | Medical Technologist | — | NULL | — |
| 246QM0900X | Microbiology Specialist/Technologist | — | NULL | — |
| 246ZB0500X | Biochemist | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 405300000X | Prevention Professional | 105785 | CO | — |

## Other

- **Enumeration date:** 05/21/2021
- **Last updated:** 05/21/2021