Individual
JUDITH JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0010-06324
NC
363A00000X
Physician Assistant
Primary
0010-06324
NC
363A00000X
Physician Assistant
2704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235537598
—
NC
Enumeration date
12/18/2014
Last updated
02/28/2019
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