Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | BLC1248003 | SC |
NPI | 1003845629 |
---|---|
Provider Name | Thomas N Joseph |
First Address | Camden, SC 29020 |
Second Address | Camden, SC 29020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 11/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
238362 | (05) | SC |
H951897740 | (02) |