Provider Demographics
NPI:1780912733
Name:TOOMER, CATHERINE HARMON (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:HARMON
Last Name:TOOMER
Suffix:
Gender:F
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:PO BOX 6648
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29804-6648
Mailing Address - Country:US
Mailing Address - Phone:803-979-1284
Mailing Address - Fax:
Practice Address - Street 1:953B DOUGHERTY RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-6508
Practice Address - Country:US
Practice Address - Phone:803-226-9010
Practice Address - Fax:803-226-0388
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21707207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC21707OtherSOUTH CAROLINA LICENSE NUMBER
SCT55366Medicaid
SCT55366Medicaid