Provider Demographics
NPI:1609872803
Name:HOWARD, THOMAS NATHANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NATHANIEL
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11405 OCEAN HWY
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-8339
Mailing Address - Country:US
Mailing Address - Phone:843-979-4006
Mailing Address - Fax:843-979-0890
Practice Address - Street 1:11405 OCEAN HWY
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-8339
Practice Address - Country:US
Practice Address - Phone:843-979-4006
Practice Address - Fax:843-979-0890
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29544207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200243650Medicaid
IN200243650Medicaid
INH00631Medicare UPIN