Individual
THOMAS MANON PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4272
(864) 725-4452
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4272
(864) 725-4452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23201
SC
208M00000X
Hospitalist Physician
23201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232019
—
SC
01
—
5741637
AETNA ID
SC
01
—
576007863071
BLUECHOICE HEALTHPLAN ID
SC
01
—
576007863095
BCBS OF SC ID
SC
01
—
9931054
CIGNA ID
SC
Enumeration date
05/03/2006
Last updated
07/15/2024
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