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Dr. James Gilbert Kane III
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. James Gilbert Kane III |
| Gender: | M |
| Provider License Number If Given: | 4210 |
NPI Information:
| NPI: | 1811996101 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 7/30/2018 |
Provider Business Mailing Address:
| Address: | 320 CLUB VIEW RD Summerville, SC 29485 |
| Phone Number: | 5303185651 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 679 ORANGEBURG RD Summerville, SC 29483 |
| Phone Number: | 5303185651 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 111N00000X |
| Secondary (if any): | 111N00000X |
| State: | SC |
