Thomas, Gill P

Thomas, Gill P is an individual health care provider with primary practice located at 204 E Carolina Ave , Clinton SC 29325-2523. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thomas, Gill P can be contacted via phone (864) 833-5355.

Contact Information

Primary practice address
204 E Carolina Ave Clinton SC 29325-2523
Fax: (864) 833-7692
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X DO7366 South Carolina

Profile Details

NPI number 1134111297
LBN Legal business name Thomas, Gill P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134111297 NPPES
South Carolina Other 0646670001 DMERC
South Carolina MEDICAID DO7366 DMERC

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