Individual
TIMOTHY A MCADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1072 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(803) 788-1120
Mailing address
894 TREASURY BEND DR, CHARLESTON, SC 29412-9042
(843) 367-8234
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN2791
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1454
—
SC
Enumeration date
03/03/2006
Last updated
01/13/2014
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