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Individual
DR. STEPHEN THOMAS WORSHAM
Active
Individual
DR. STEPHEN THOMAS WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14886
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571020809042
BCBS SC
SC
01
—
571020809045
TRICARE
SC
05
—
TL2170
—
SC
Enumeration date
05/03/2006
Last updated
10/20/2015
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