Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 22181 | SC |
N | 207VG0400X | Gynecologist | 22181 | SC |
NPI | 1962426049 |
---|---|
Provider Name | Thomas Lewis Wheeler |
First Address | Atlanta, GA 30374-3070 |
Second Address | Spartanburg, SC 29307-1008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 03/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
221815 | (05) | SC |
P00656689 | RAILROAD MEDICARE (01) | SC |
P00801318 | RR MEDICARE (01) | SC |
SCJ8115019 | MEDICARE PIN (01) | SC |