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Individual

KIM JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1523 HERITAGE LN UNIT B, FLORENCE, SC 29505-3197
(843) 673-0900
Mailing address
1523 HERITAGE LN, UNIT B, FLORENCE, SC 29505-3197
(843) 673-0900
(843) 665-5851

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
213206
SC
164W00000X
Licensed Practical Nurse
P39373
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
21086
SC

Other

Enumeration date
06/28/2017
Last updated
10/31/2017
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