Provider Demographics
NPI:1861480477
Name:TRANTHAM, HARRY ENGLAND (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:ENGLAND
Last Name:TRANTHAM
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 1:407 VARDRY ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3307
Mailing Address - Country:US
Mailing Address - Phone:864-242-5782
Mailing Address - Fax:864-233-8043
Practice Address - Street 1:407 VARDRY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3307
Practice Address - Country:US
Practice Address - Phone:864-242-5782
Practice Address - Fax:864-233-8043
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5459207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1590Medicare ID - Type Unspecified
B92372Medicare UPIN