Individual
DR. JOSEPH DANIEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8056
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31095
SC
207R00000X
Internal Medicine Physician
LL31095
SC
207RG0100X
Gastroenterology Physician
35123122
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101007
—
OH
05
—
310951
—
SC
Enumeration date
06/28/2008
Last updated
10/23/2020
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