Individual
MR. JAMES SELF CORLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 HWY 72-221 EAST, GREENWOOD, SC 29649
(864) 223-1891
(864) 223-4144
Mailing address
1302 HWY 72-221 EAST, GREENWOOD, SC 29649
(864) 223-1891
(864) 223-4144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5147
SC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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