Thomas A Duc, MD

Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Charleston, SC

NPI 1871549865 · NPPES record last updated Aug 16, 2012

Key facts

NPI
1871549865
Entity type
Individual (NPI type 1)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
License
13634 (SC)
Practice address
8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Phone
(843) 266-9298
Fax
(843) 266-9299
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CBD Medical Enterprises PA Current Accepting new patients
Lowcountry Medical Associates Past Accepting new patients
Anesthesia Associates of Charleston, P.a. Pain Medicine Past
since Jul 29, 1991
Accepting new patients
Lowcountry Physical Therapy Associates LLC Past Accepting new patients

Locations

1341 Old Georgetown Rd
Ste B
Mt Pleasant, SC 29464
Phone (843) 216-9870

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 13634 SC Yes

Addresses

Primary practice location

8 Farmfield Ave
Suite B
Charleston, SC 29407-7779

Mailing address

8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Phone (843) 266-9298

Other identifiers

IdentifierTypeStateIssuer
136347MedicaidSC

Other providers in Charleston, SC

All providers in Charleston, SC · Pain Medicine (Anesthesiology) Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.