Edmunds, Thomas B
Edmunds, Thomas B is an sole proprietor health care provider with primary practice located at 2724 Middleburg Dr , Columbia SC 29204-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Edmunds, Thomas B can be contacted via phone (803) 251-6602.Contact Information
Primary practice address
2724 Middleburg Dr
Columbia SC 29204-2437
Phone: (803) 251-6602
Fax: (803) 251-6605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 22045 | South Carolina |
Profile Details
| NPI number | 1962443887 |
|---|---|
| LBN Legal business name | Edmunds, Thomas B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Dec 13th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962443887 | NPPES |
| South Carolina | MEDICAID | 220451 |
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