DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. THOMAS O FORT PA

MEDICARE: MR. THOMAS O FORT PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant780SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144207382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS O FORT PA
Provider Business Mailing Address
First Line : PO BOX 1209
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-1209
Country : US
Telephone Number : 843-652-8220
Fax Number : 843-527-7080
Provider Business Practice Location Address
First Line : 701 S MORGAN AVE
Second Line :
City : ANDREWS
State : SC
Zip : 29510-2959
Country : US
Telephone Number : 843-264-5253
Fax Number : 843-264-5970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 06/16/2018

Similar Medicare Providers

1730164229 — DR. BERNARD LEE JONES JR. MD
Practice Location Address:
701 S MORGAN AVE
ANDREWS, SC
29510-2959
Practice Phone: 843-264-5253
Practice Fax: 843-264-5970
1750367918 — MRS. JANIS W HARVEY C FNP
Practice Location Address:
701 S MORGAN AVE
ANDREWS, SC
29510-2959
Practice Phone: 843-264-5253
Practice Fax: 843-264-5970
1144401365 — GEORGETOWN HEALTH GROUP
Practice Location Address:
701 S MORGAN AVE
ANDREWS, SC
29510-2959
Practice Phone: 843-264-5253
Practice Fax:
1912149287 — MR. PATRICK STEVE SMITH JR. PTA
Practice Location Address:
701 S MORGAN AVE
ANDREWS, SC
29510-2959
Practice Phone: 843-264-8933
Practice Fax:
1023346681 — GEORGETOWN MEMORIAL HOSPITAL
Practice Location Address:
701 S MORGAN AVE
ANDREWS, SC
29510-2959
Practice Phone: 843-264-5253
Practice Fax:
1881948834 — LABORATORY CORPORATION OF AMERICA HOLDINGS
Practice Location Address:
701 S MORGAN AVE , SUITE A
ANDREWS, SC
29510-2959
Practice Phone: 843-264-2267
Practice Fax:

Directions to “ MR. THOMAS O FORT PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.