Tolman, Phillip William

Tolman, Phillip William is an individual health care provider with primary practice located at 511 N Highway 52 , Moncks Corner SC 29461-3132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tolman, Phillip William can be contacted via phone (843) 761-0936.

Contact Information

Primary practice address
511 N Highway 52 Moncks Corner SC 29461-3132
Phone: (843) 761-0936
Fax: (843) 761-0938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103958 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1194 South Carolina

Profile Details

NPI number 1700935699
LBN Legal business name Tolman, Phillip William
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated May 10th, 2011 - about 14 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 1700935699 NPPES
South Carolina MEDICAID 0519PA
South Carolina Other P00834849

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