Individual
JAMES R STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-8647
(864) 542-2227
Mailing address
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-8647
(864) 542-2227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10272
SC
207RI0011X
Interventional Cardiology Physician
10272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102720
—
SC
01
—
31368
MEDCOST PIN
—
01
—
4276018
AETNA PIN
—
05
—
890674C
—
NC
Enumeration date
06/01/2006
Last updated
08/27/2008
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