Provider Demographics
NPI:1437176526
Name:VORMOHR, DAVID W (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:VORMOHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 BILL FRIES RD
Mailing Address - Street 2:BLDG A
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2730
Mailing Address - Country:US
Mailing Address - Phone:843-682-7470
Mailing Address - Fax:843-682-2042
Practice Address - Street 1:25 HOSPITAL CENTER BLVD STE 105
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2735
Practice Address - Country:US
Practice Address - Phone:843-682-7470
Practice Address - Fax:843-682-2042
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2021-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC18381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCF92917Medicare UPIN