Individual
DR. STEPHEN THOMAS WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 FABER PLACE DR, N CHARLESTON, SC 29405-8532
(843) 747-4647
(843) 747-0969
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
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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