Individual
RUBY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 DORSEY DR, SUMTER, SC 29154-1512
(803) 983-6105
Mailing address
17 E CANAL ST, SUMTER, SC 29150-4925
(803) 983-6105
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465231112
—
SC
Enumeration date
05/08/2014
Last updated
05/08/2014
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