Provider Demographics
NPI:1972592491
Name:CAHILL, JAMES B (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:CAHILL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 N GUIGNARD DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2436
Mailing Address - Country:US
Mailing Address - Phone:803-775-5550
Mailing Address - Fax:803-773-9516
Practice Address - Street 1:689 N GUIGNARD DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2436
Practice Address - Country:US
Practice Address - Phone:803-775-5550
Practice Address - Fax:803-773-9516
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC00094213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPD0948Medicaid
SCPD0948Medicaid