Individual
DR. JAMES WILLIS FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
5133 RIVERS AVE, NORTH CHARLESTON, SC 29406-6338
(843) 789-1786
(843) 958-1263
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1546
SC
207R00000X
Internal Medicine Physician
OS005031L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009322000001
—
PA
01
—
110042361
RAILROAD MEDICARE
PA
Enumeration date
08/24/2005
Last updated
08/29/2025
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