Individual
DR. THOMAS JOHN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
18818
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
18818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#15
UHC
SC
01
—
0903621
PHYSICIANS HEALTH PLAN
SC
01
—
1044182
FIRST HEALTH
SC
05
—
188184
—
SC
01
—
3611017001
CIGNA
SC
01
—
72853
MEDCOST
SC
01
—
A-165
NC UHC
NC
01
—
CE6164
MEDICARE RAILROAD
SC
Enumeration date
04/27/2006
Last updated
07/20/2022
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