Individual
DR. WALTER ENNIS JAMES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, SUITE 812-CSB, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247232
VA
207RP1001X
Pulmonary Disease Physician
Primary
38674
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/28/2007
Last updated
08/03/2015
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