Chambers, Thomas John

Chambers, Thomas John is an individual health care provider with primary practice located at 210 Village Center Blvd Ste 200 , Myrtle Beach SC 29579-6706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Chambers, Thomas John can be contacted via phone (843) 353-3460.

Contact Information

Primary practice address
210 Village Center Blvd Ste 200 Myrtle Beach SC 29579-6706
Phone: (843) 353-3460
Fax: (843) 353-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18818 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 18818 South Carolina

Profile Details

NPI number 1972560738
LBN Legal business name Chambers, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972560738 NPPES
South Carolina MEDICAID 188184
South Carolina Other A-165
South Carolina Other 0903621
South Carolina Other 1044182
South Carolina Other #15
South Carolina Other 3611017001
South Carolina Other 72853
South Carolina Other CE6164

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