Thomas, Jennifer M

Thomas, Jennifer M is an individual health care provider with primary practice located at 100 Gavotte Ln , Anderson SC 29621-8205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Thomas, Jennifer M can be contacted via phone (864) 261-7474.

Contact Information

Primary practice address
100 Gavotte Ln Anderson SC 29621-8205
Fax: (864) 261-8580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2007-00336 North Carolina

Profile Details

NPI number 1972719854
LBN Legal business name Thomas, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 21st, 2022 - about 2 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 1972719854 NPPES
South Carolina Other P01317465 RR MEDICARE
South Carolina Other P01078673 RR MEDICARE

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