Individual
DR. HENRY W TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 EDGEFIELD AVE NW, AIKEN, SC 29801-3910
(803) 648-4224
(803) 641-7600
Mailing address
216 EDGEFIELD AVE NW, AIKEN, SC 29801-3910
(803) 648-4224
(803) 641-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC12889
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142590001
CHAMPUS
SC
01
—
080029213
RAILROAD MEDICARE
SC
05
—
128891
—
SC
Enumeration date
10/13/2005
Last updated
10/15/2025
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