Individual
JAMES FELDER SELPH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-8004
(803) 434-8050
(803) 933-3005
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
30227
SC
2084N0600X
Clinical Neurophysiology Physician
30227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302275
—
SC
01
—
AA22989482
MEDICARE PTAN
SC
01
—
GP5417
MEDICAID GROUP
SC
Enumeration date
01/04/2007
Last updated
04/23/2021
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