Provider Demographics
NPI:1306072301
Name:NELSON, JAMES ROGER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROGER
Last Name:NELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 MONTCLAIR LN
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8602
Mailing Address - Country:US
Mailing Address - Phone:910-255-6225
Mailing Address - Fax:910-255-6225
Practice Address - Street 1:211 TRIMBLE PLANT RD
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-3439
Practice Address - Country:US
Practice Address - Phone:910-246-5333
Practice Address - Fax:910-246-5330
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009001772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology