Kendrick Maurice James, FNP | |
220 Faison Dr, Columbia, SC 29203-3210 | |
(803) 935-7140 | |
Not Available |
Full Name | Kendrick Maurice James |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 220 Faison Dr, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538522560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20062 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Carolina Dept Of Mental Health Accounting Office | 9032021175 | 162 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Mailing Address | Practice Location Address |
---|---|
Kendrick Maurice James, FNP 220 Faison Dr, Columbia, SC 29203-3210 Ph: (803) 935-7140 | Kendrick Maurice James, FNP 220 Faison Dr, Columbia, SC 29203-3210 Ph: (803) 935-7140 |
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