Worsham, Stephen Thomas

Worsham, Stephen Thomas is an individual health care provider with primary practice located at 3800 Faber Place Dr , N Charleston SC 29405-8532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Worsham, Stephen Thomas can be contacted via phone (843) 747-4647.

Contact Information

Primary practice address
3800 Faber Place Dr N Charleston SC 29405-8532
Fax: (843) 747-0969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14886 South Carolina

Profile Details

NPI number 1134187891
LBN Legal business name Worsham, Stephen Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 20th, 2015 - about 10 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 1134187891 NPPES
South Carolina Other 571020809045 TRICARE
South Carolina Other 571020809042 TRICARE
South Carolina MEDICAID TL2170 TRICARE

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