Individual
DR. THOMAS GARDNER FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 HIGHWAY 17 BYP S, SOUTH STRAND MEDICAL CENTER, MYRTLE BEACH, SC 29588-4500
(843) 839-6006
Mailing address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3737
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD36329
SC
208600000X
Surgery Physician
130772
NY
208600000X
Surgery Physician
21260
MS
208600000X
Surgery Physician
Primary
MD36329
SC
208600000X
Surgery Physician
TD141049
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0648635
—
MS
Enumeration date
12/01/2005
Last updated
08/20/2015
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