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Individual

MR. JAMES THOMAS VINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SR

Contact information

Practice address
203 LEE AVE, HAMPTON, SC 29924-3441
(803) 943-3521
(803) 943-3521
Mailing address
203 LEE AVE, P O BOX 8, HAMPTON, SC 29924-3441
(803) 943-3521
(803) 943-3521

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3939
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
713655
SC
Enumeration date
10/24/2005
Last updated
07/08/2007
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