Individual
JAMES R FUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
357 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 522-8350
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22716
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080174871
RR MEDICARE
SC
05
—
227169
—
SC
01
—
4197246
AETNA
SC
01
—
5941138
CIGNA
SC
Enumeration date
06/03/2006
Last updated
05/21/2021
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