Individual
DR. JAMES B TANKERSLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4103 E NORTH ST, GREENVILLE, SC 29615
(864) 268-6417
(864) 268-3200
Mailing address
4103 E NORTH ST, GREENVILLE, SC 29615
(864) 268-6417
(864) 268-3200
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2600
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z26008
—
SC
Enumeration date
06/19/2006
Last updated
07/08/2007
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