Thomas, Tommy D

Thomas, Tommy D is an individual health care provider with primary practice located at 200 Patewood Dr Ste C 100, Greenville SC 29615-3593. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thomas, Tommy D can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Ste C 100 Greenville SC 29615-3593
Phone: (864) 454-7422
Fax: (864) 454-7374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 866 South Carolina

Profile Details

NPI number 1083649370
LBN Legal business name Thomas, Tommy D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 11th, 2013 - about 12 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 1083649370 NPPES
South Carolina MEDICAID 0050PA
South Carolina Other P00802365

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