Eustis, Thomas Chadwick
Eustis, Thomas Chadwick is an sole proprietor health care provider with primary practice located at 1240 Hospital Dr , Mt Pleasant SC 29464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Eustis, Thomas Chadwick can be contacted via phone (843) 856-6380.Contact Information
Primary practice address
1240 Hospital Dr
Mt Pleasant SC 29464
Phone: (843) 856-6380
Fax: (877) 929-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | TL32407 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 063583 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36338 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32407 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TL32407 | South Carolina |
Profile Details
| NPI number | 1427001452 |
|---|---|
| LBN Legal business name | Eustis, Thomas Chadwick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Dec 11th, 2019 - about 6 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 | 1427001452 | NPPES |
| South Carolina | MEDICAID | 324072 | |
| South Carolina | MEDICAID | 6403343 | |
| South Carolina | Other | P00918204 |
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