Individual
JAMES H ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-0029
(864) 329-8125
Mailing address
300 E MCBEE AVE, FL 4, GREENVILLE, SC 29601-2842
(803) 434-6412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-01489
NC
207R00000X
Internal Medicine Physician
Primary
35180
SC
207R00000X
Internal Medicine Physician
57013088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC1212
—
SC
Enumeration date
10/23/2007
Last updated
04/05/2021
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