Thomas, Stephen Mark

Thomas, Stephen Mark is an individual health care provider with primary practice located at 1204 Palmetto Peninsula Dr , Mount Pleasant SC 29464-7452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomas, Stephen Mark can be contacted via phone (843) 901-2386.

Contact Information

Primary practice address
1204 Palmetto Peninsula Dr Mount Pleasant SC 29464-7452
Fax: (843) 936-1626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28138 South Carolina

Profile Details

NPI number 1508956673
LBN Legal business name Thomas, Stephen Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Apr 25th, 2017 - about 7 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 1508956673 NPPES
South Carolina MEDICAID 281386
South Carolina Other GP1551
South Carolina Other P00630905

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