Wortham, David T.

Wortham, David T. is an individual health care provider with primary practice located at 1922 A Mcconnell Springs Rd , Anderson SC 29621-2642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wortham, David T. can be contacted via phone (864) 716-6050.

Contact Information

Primary practice address
1922 A Mcconnell Springs Rd Anderson SC 29621-2642
Phone: (864) 716-6050
Fax: (864) 716-6055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 17843 South Carolina

Profile Details

NPI number 1437101771
LBN Legal business name Wortham, David T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 9th, 2013 - about 12 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 1437101771 NPPES
Other 000669039D GEORGIA MEDICAID
Other P00123534 GEORGIA MEDICAID
MEDICAID T18905 GEORGIA MEDICAID

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