Wieters, Thomas R

Wieters, Thomas R is an sole proprietor health care provider with primary practice located at 3070 N Highway 17 Suite 202, Mount Pleasant SC 29466-9300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wieters, Thomas R can be contacted via phone (843) 881-8346.

Contact Information

Primary practice address
3070 N Highway 17 Suite 202 Mount Pleasant SC 29466-9300
Fax: (843) 284-4093
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 10486 South Carolina

Profile Details

NPI number 1255368106
LBN Legal business name Wieters, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Feb 5th, 2008 - about 16 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 1255368106 NPPES
South Carolina Other 1518149350 NPI

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