Provider Demographics
NPI:1699886176
Name:JAMES, STEPHEN CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:CHARLES
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11150 HIGHWAY 49
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-4110
Mailing Address - Country:US
Mailing Address - Phone:228-867-5202
Mailing Address - Fax:228-867-5007
Practice Address - Street 1:1340 BROAD AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-2404
Practice Address - Country:US
Practice Address - Phone:228-867-5202
Practice Address - Fax:228-867-5007
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS217182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F29358Medicare UPIN