Individual
GILL P THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
204 E CAROLINA AVE, CLINTON, SC 29325-2523
(864) 833-5355
(864) 833-7692
Mailing address
204 E CAROLINA AVE, CLINTON, SC 29325-2523
(864) 833-5355
(864) 833-7692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DO7366
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0646670001
DMERC
SC
05
—
DO7366
—
SC
Enumeration date
08/16/2005
Last updated
07/02/2008
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