Mcadams, Timothy A

Mcadams, Timothy A is an sole proprietor health care provider with primary practice located at 1072 Wildwood Centre Dr , Columbia SC 29229-8420. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mcadams, Timothy A can be contacted via phone (803) 788-1120.

Contact Information

Primary practice address
1072 Wildwood Centre Dr Columbia SC 29229-8420
Phone: (803) 788-1120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN2791 South Carolina

Profile Details

NPI number 1821065202
LBN Legal business name Mcadams, Timothy A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Jan 13th, 2014 - about 10 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 1821065202 NPPES
South Carolina MEDICAID AN1454

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