Individual
JAMES KEVIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
109 GOOSE CREEK DR, GOOSE CREEK, SC 29445-3224
(843) 530-0400
Mailing address
109 GOOSE CREEK DR, GOOSE CREEK, SC 29445-3224
(843) 530-0400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1658
SC
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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