Provider Demographics
NPI:1316972615
Name:AYMOND, JAMES K (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:AYMOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:2093 HENRY TECKLENBURG DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5741
Practice Address - Country:US
Practice Address - Phone:843-958-2500
Practice Address - Fax:843-958-2680
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16331207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC163316Medicaid
SCP00614934OtherRAILROAD MEDICARE ID
SCP00789749OtherRAILROAD MC ID -AFTER 5/1/10-RSFPN
SCF312995551Medicare PIN
SCP00614934OtherRAILROAD MEDICARE ID
SCF312999223Medicare PIN