Evans, Thomas Edwin

Evans, Thomas Edwin is an individual health care provider with primary practice located at 11082 N Radio Station Rd , Seneca SC 29678-1142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Thomas Edwin can be contacted via phone (864) 882-2314.

Contact Information

Primary practice address
11082 N Radio Station Rd Seneca SC 29678-1142
Phone: (864) 882-2314
Fax: (864) 882-3677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20498 South Carolina

Profile Details

NPI number 1255339131
LBN Legal business name Evans, Thomas Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Sep 3rd, 2014 - about 11 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 1255339131 NPPES
South Carolina MEDICAID GP4697
South Carolina Other 080165039
South Carolina Other 20-8715655
South Carolina MEDICAID Q33321

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