Individual
DAVID T. WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1922 A MCCONNELL SPRINGS RD, ANDERSON, SC 29621-2642
(864) 716-6050
(864) 716-6055
Mailing address
1922 A MCCONNELL SPRINGS RD, ANDERSON, SC 29621-2642
(864) 716-6050
(864) 716-6055
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17843
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000669039D
GEORGIA MEDICAID
—
01
—
P00123534
RAILROAD MEDICARE
—
05
—
T18905
—
SC
Enumeration date
05/16/2006
Last updated
05/09/2013
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