Provider Demographics
NPI:1922026350
Name:TOLBERT, CLAUDE H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:H
Last Name:TOLBERT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:75 BAYLOR DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-8965
Mailing Address - Country:US
Mailing Address - Phone:843-540-5857
Mailing Address - Fax:843-524-5655
Practice Address - Street 1:75 BAYLOR DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-8965
Practice Address - Country:US
Practice Address - Phone:843-540-5857
Practice Address - Fax:843-524-5655
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-12-08
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Provider Licenses
StateLicense IDTaxonomies
SC22002207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT59032Medicaid
SCH13701Medicare UPIN
SCH13701 8067Medicare ID - Type Unspecified