Provider Demographics
NPI:1316634991
Name:BATSON, JAMES RICHARD JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:BATSON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 PERSIMMON HL
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-1218
Mailing Address - Country:US
Mailing Address - Phone:864-384-3009
Mailing Address - Fax:
Practice Address - Street 1:13 PERSIMMON HL
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-1218
Practice Address - Country:US
Practice Address - Phone:864-384-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist