# THOMAS H DOUGLAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336213883
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0101045853 | VA | — |
| 208800000X | Urology Physician | 21281 | SC | Yes |
| 208800000X | Urology Physician | 99-00476 | NC | — |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 05/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0007034011 | AETNA | SC |
| 01 | — | 136HX | BCBS OF NC | NC |
| 01 | — | 1905793 | UNITED HEALTHCARE | SC |
| 05 | — | 212816 | — | SC |
| 01 | — | 279873 | MAMSI | SC |
| 01 | — | 867215 | GREAT WEST | SC |
| 05 | — | 8912374 | — | NC |
| 01 | — | 90023 | MEDCOST | SC |