IndividualActive
James Debloom, MD
NPI 1396777124 · MOHS-Micrographic Surgery Physician · Greenville, SC
Provider details
- NPI number
- 1396777124
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- TL28759 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Ashby Park Lane
Greenville, SC 29607-6903
Phone: (864) 288-1154
Fax: (864) 288-2554
Approximate (ZIP-level) locationGet directions
Mailing address
300 Ashby Park Ln
Greenville, SC 29607-6903
Additional practice locations (1)
- 391 Serpentine Dr Ste 440Spartanburg, SC 29303-3081Phone: (864) 410-1973Fax: (864) 288-2554
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.