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
Fax: (803) 894-2121
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558354282 NPPES
South Carolina Other 275 SC DHEC AT CERTIFICATION NUNBER

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