Healthcare Provider Details

I. General information

NPI: 1912972498
Provider Name (Legal Business Name): THOMAS D ARMSEY II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 BLANDING ST
COLUMBIA SC
29201-3520
US

IV. Provider business mailing address

1910 BLANDING ST
COLUMBIA SC
29201-3520
US

V. Phone/Fax

Practice location:
  • Phone: 803-256-4107
  • Fax: 803-253-6676
Mailing address:
  • Phone: 803-256-4107
  • Fax: 803-253-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26501
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number26501
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: