Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 15423 | SC |
N | 225000000X | Orthotic Fitter |
NPI | 1801985007 |
---|---|
Provider Name | Dr. Thomas C. Appleby |
First Address | Charleston, SC 29407 |
Second Address | Charleston, SC 29407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 06/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0489056 | AETNA (01) | SC |
154239 | (05) | SC |
39929 | MEDCOST (01) | SC |
570661850 | FEDERAL TAX ID (01) | SC |
610303400 | US DEPARTMENT OF LABOR (01) | SC |
6174310001 | MEDICARE DME PTAN (01) | |
770001518 | RAILROAD MEDICARE (01) | SC |
E89516 | (02) | SC |
PA1729 | (05) | SC |
S305710 | CIGNA (01) | SC |