Individual
DR. ANTHONY LANELL TOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY PARKWAY, AIKEN, SC 29802
(803) 641-5197
(803) 641-5690
Mailing address
P.O. BOX 3847, AUGUSTA, GA 30914-3847
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
21919
SC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
21919
SC
2085N0700X
Neuroradiology Physician
21919
SC
2085N0904X
Nuclear Radiology Physician
21919
SC
2085P0229X
Pediatric Radiology Physician
21919
SC
2085R0202X
Diagnostic Radiology Physician
Primary
21919
SC
2085U0001X
Diagnostic Ultrasound Physician
21919
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00741254A
—
GA
01
—
1356443683
NPI - CAROLINA RADIOLOGY
—
01
—
202148722
BLUE CROSS BLUE SHIELD
SC
01
—
202148722
TRICARE
—
05
—
219196
—
SC
01
—
608241300
ACS/OWCP/DEEOIC
—
01
—
608241301
ACS/OWCP/FBL
—
01
—
608241302
ACS/OWCP/FBL
—
01
—
608241303
ACS/OWCP/FBL
—
Enumeration date
05/31/2006
Last updated
10/31/2013
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