Whitehead, Tommy Scott

Whitehead, Tommy Scott is an sole proprietor health care provider with primary practice located at 516 Montague Ave , Greenwood SC 29649-1942. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whitehead, Tommy Scott can be contacted via phone (864) 223-1468.

Contact Information

Primary practice address
516 Montague Ave Greenwood SC 29649-1942
Phone: (864) 223-1468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 728 South Carolina

Profile Details

NPI number 1780770545
LBN Legal business name Whitehead, Tommy Scott
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jan 10th, 2023 - about 2 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 1780770545 NPPES
South Carolina Other AA76245684 MEDICARE
South Carolina MEDICAID 0057PA MEDICARE

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