Spence, Timothy A

Spence, Timothy A is an individual health care provider with primary practice located at 204 E Cheves St , Florence SC 29506-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Spence, Timothy A can be contacted via phone (843) 777-7603.

Contact Information

Primary practice address
204 E Cheves St Florence SC 29506-2604
Fax: (843) 662-2474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17446 South Carolina

Profile Details

NPI number 1528030251
LBN Legal business name Spence, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 25th, 2009 - 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 1528030251 NPPES
South Carolina MEDICAID T12867
South Carolina Other 202935692

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