Individual
DR. SUSAN F THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1612 CHAPIN ROAD, CHAPIN, SC 29036
(803) 345-3414
(803) 345-1672
Mailing address
1612 CHAPIN ROAD, CHAPIN, SC 29036
(803) 345-3414
(803) 345-1672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12052
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120522
—
SC
Enumeration date
08/12/2006
Last updated
06/03/2009
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