Provider Demographics
NPI:1093522716
Name:ISLAND HOUSE CALLS LLC
Entity type:Organization
Organization Name:ISLAND HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-385-3371
Mailing Address - Street 1:11405 OCEAN HWY UNIT 1
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:853-979-4006
Mailing Address - Fax:853-979-0891
Practice Address - Street 1:11405 OCEAN HWY UNIT 1
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:853-979-4006
Practice Address - Fax:853-979-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty