Individual
JAMES CAESAR MENSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 ENTERPRISE BLVD, STE 112, GREENVILLE, SC 29615-3534
(864) 297-4093
(864) 297-4095
Mailing address
10 ENTERPRISE BLVD, STE 112, GREENVILLE, SC 29615-3534
(864) 297-4093
(864) 297-4095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7427
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134290167
TAX ID
SC
01
—
1710122239
BILLING NPI
SC
Enumeration date
06/21/2005
Last updated
04/02/2010
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