Tatum, Charles R

Tatum, Charles R is an individual health care provider with primary practice located at 101 William H. Johnson Street Ste 500, Florence SC 29506-2772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tatum, Charles R can be contacted via phone (843) 777-7410.

Contact Information

Primary practice address
101 William H. Johnson Street Ste 500 Florence SC 29506-2772
Phone: (843) 777-7410
Fax: (843) 777-7440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11105 South Carolina

Profile Details

NPI number 1558333278
LBN Legal business name Tatum, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 22nd, 2021 - about 4 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 1558333278 NPPES
North Carolina Other 890609B NC MEDICAID
North Carolina MEDICAID 111051 NC MEDICAID

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