Provider Demographics
NPI:1902888308
Name:PRESSLY, JAMES ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLEN
Last Name:PRESSLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4601 PARK RD
Mailing Address - Street 2:CREDENTIALING COORDINATOR
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3239
Mailing Address - Country:US
Mailing Address - Phone:704-323-2000
Mailing Address - Fax:704-323-3911
Practice Address - Street 1:1450 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2387
Practice Address - Country:US
Practice Address - Phone:704-849-2163
Practice Address - Fax:704-849-2166
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC15157207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC421435Medicaid
NC8969115Medicaid
SC421435Medicaid
NCC86050Medicare UPIN