Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 26188 | SC |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 26188 | SC |
NPI | 1144287277 |
---|---|
Provider Name | David G Everman |
First Address | Myrtle Beach, SC 29579-6706 |
Second Address | Myrtle Beach, SC 29579-6706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 08/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
182627 | MEDCOST (01) | SC |
261889 | (05) | SC |
CE6164 | RAILROAD RETIREMENT MEDICARE (01) | SC |
I18354 | (02) | SC |