Mcdonald, Thomas A
Mcdonald, Thomas A is an individual health care provider with primary practice located at 1509 Heritage Ln , Florence SC 29505-3141. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mcdonald, Thomas A can be contacted via phone (843) 799-4878.Contact Information
Primary practice address
1509 Heritage Ln
Florence SC 29505-3141
Phone: (843) 799-4878
Fax: (843) 799-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1223S0112X | South Carolina |
Profile Details
| NPI number | 1932113180 |
|---|---|
| LBN Legal business name | Mcdonald, Thomas A |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 25th, 2017 - about 7 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 | 1932113180 | NPPES |
| South Carolina | MEDICAID | Z31760 | |
| South Carolina | MEDICAID | ZA9176 |
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