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Individual

JAMES CHARLES MCGEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10630 CLEMSON BLVD, 100, SENECA, SC 29678-4546
(864) 482-6000
(864) 482-7166
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6015

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
142660
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142660
SC
01
200010946
RR MEDICARE
SC
Enumeration date
03/24/2006
Last updated
04/05/2015
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