Thomas, Theresa
Thomas, Theresa is an individual health care provider with primary practice located at 1210 Chuck Dawley Blvd , Mount Pleasant SC 29464-4186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thomas, Theresa can be contacted via phone (843) 971-1955.Contact Information
Primary practice address
1210 Chuck Dawley Blvd
Mount Pleasant SC 29464-4186
Phone: (843) 971-1955
Fax: (843) 974-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17520 | South Carolina |
Profile Details
| NPI number | 1629033980 |
|---|---|
| LBN Legal business name | Thomas, Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629033980 | NPPES |
| South Carolina | MEDICAID | 175205 |
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