Shaver, Timothy Scott

Shaver, Timothy Scott is an individual health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118-1442. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaver, Timothy Scott can be contacted via phone (803) 395-2200.

Contact Information

Primary practice address
3000 Saint Matthews Rd Orangeburg SC 29118-1442
Phone: (803) 395-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23333 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23333 South Carolina

Profile Details

NPI number 1275598674
LBN Legal business name Shaver, Timothy Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 7th, 2023 - about 3 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 1275598674 NPPES
South Carolina MEDICAID 233330

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