Womack, John Wesley
Womack, John Wesley is an individual health care provider with primary practice located at 35 International Dr , Greenville SC 29615-4816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Womack, John Wesley can be contacted via phone (864) 234-7654.Contact Information
Primary practice address
35 International Dr
Greenville SC 29615-4816
Phone: (864) 234-7654
Fax: (864) 675-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30619 | South Carolina |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 30619 | South Carolina |
Profile Details
| NPI number | 1366579666 |
|---|---|
| LBN Legal business name | Womack, John Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Sep 16th, 2013 - about 11 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 | 1366579666 | NPPES |
| South Carolina | MEDICAID | 306190 | |
| South Carolina | Other | 8157 |
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