Individual
DR. JAMES P. HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585-6013
(843) 237-2672
(843) 237-0369
Mailing address
116 ANCIENT MARINER LN, PAWLEYS ISLAND, SC 29585-7553
(843) 235-0223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4680
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4680
MEDICAL LICENSE #
SC
Enumeration date
08/27/2006
Last updated
07/08/2007
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