Individual
DR. JAMES WILKS FANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 501, COLUMBIA, SC 29203-6808
(803) 434-3320
(803) 540-1111
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17608
SC
207RR0500X
Rheumatology Physician
Primary
17608
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176080
—
SC
Enumeration date
03/07/2006
Last updated
04/22/2021
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