Individual
DR. CHARLES B THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 WEST BUTLER ROAD, SUITE C, MAULDIN, SC 29662-4833
(864) 277-9867
(864) 299-3442
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12306
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123066
—
SC
Enumeration date
05/04/2006
Last updated
08/22/2011
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