Healthcare Provider Details

I. General information

NPI: 1720455710
Provider Name (Legal Business Name): DAVID S. TORMAN R.T.(R)(CT)(MR)(ARRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2015
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

5 SPANISH MOSS DR
BEAUFORT SC
29907-2280
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-5213
  • Fax:
Mailing address:
  • Phone: 843-476-2770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number411969
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number411969
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number411969
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: