Wham, George Samuel
Wham, George Samuel is an individual health care provider with primary practice located at 600 Lydia Dr , Pelion SC 29123-9812. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wham, George Samuel can be contacted via phone (803) 894-2276.Contact Information
Primary practice address
600 Lydia Dr
Pelion SC 29123-9812
Phone: (803) 894-2276
Fax: (803) 894-2121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 275 | South Carolina |
Profile Details
| NPI number | 1558354282 |
|---|---|
| LBN Legal business name | Wham, George Samuel |
| Credentials | EDD, SCAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jan 18th, 2021 - about 5 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 | 1558354282 | NPPES |
| South Carolina | Other | 275 | SC DHEC AT CERTIFICATION NUNBER |
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