Gilmore, Waddell H
Gilmore, Waddell H is an individual health care provider with primary practice located at 180 Wingo Way Ste 301 , Mount Pleasant SC 29464-1812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gilmore, Waddell H can be contacted via phone (843) 884-0302.Contact Information
Primary practice address
180 Wingo Way Ste 301
Mount Pleasant SC 29464-1812
Phone: (843) 884-0302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9782 | South Carolina |
Profile Details
| NPI number | 1205823754 |
|---|---|
| LBN Legal business name | Gilmore, Waddell H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Sep 30th, 2022 - about 2 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 | 1205823754 | NPPES |
| South Carolina | MEDICAID | DM0683 | |
| South Carolina | Other | P00834851 | |
| South Carolina | MEDICAID | 097825 |
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