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NPI Code Detail

MEDICARE: DAVID G EVERMAN MD

MEDICARE: DAVID G EVERMAN MD
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
1207X00000XOrthopaedic Surgery Physician26188SC
2207XS0106XOrthopaedic Hand Surgery Physician26188SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CE6164OTHERSCRAILROAD RETIREMENT MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2182627OTHERSCMEDCOST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144287277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID G EVERMAN MD
Provider Business Mailing Address
First Line : 210 VILLAGE CENTER BLVD STE 140
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-6706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 VILLAGE CENTER BLVD
Second Line : SUITE 200
City : MYRTLE BEACH
State : SC
Zip : 29579-6706
Country : US
Telephone Number : 843-236-3222
Fax Number : 843-236-3005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/20/2022

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