Individual
JAMES DEWITT BEARDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7050
(864) 560-0800
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5674
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056744
—
SC
01
—
0732330001
NATIONAL SUPPLIER CLEARIN
SC
05
—
8905108
—
NC
01
—
P00692282
RR MEDICARE
SC
01
—
SCG0033365
MEDICARE PIN
SC
Enumeration date
06/22/2005
Last updated
02/01/2023
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