Foreman, Thomas Gardner
Foreman, Thomas Gardner is an individual health care provider with primary practice located at 5050 Highway 17 Byp S South Strand Medical Center, Myrtle Beach SC 29588-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Foreman, Thomas Gardner can be contacted via phone (843) 839-6006.Contact Information
Primary practice address
5050 Highway 17 Byp S South Strand Medical Center
Myrtle Beach SC 29588-4500
Phone: (843) 839-6006
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 130772 | New York |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD36329 | South Carolina |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21260 | Mississippi |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | TD141049 | Maine |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | MD36329 | South Carolina |
Profile Details
NPI number | 1942284047 |
---|---|
LBN Legal business name | Foreman, Thomas Gardner |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Aug 20th, 2015 - about 9 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 | 1942284047 | NPPES |
Mississippi | MEDICAID | 0648635 |
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