Individual
MR. JAMES ALTON ELVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
520 THURGOOD MARSHALL HWY, SUITE B, KINGSTREE, SC 29556-4108
(843) 355-5628
(843) 355-5616
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19106
SC
Other
Enumeration date
10/17/2014
Last updated
06/02/2016
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