Individual
DR. THOMAS R MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9565 HIGHWAY 78 BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478
Mailing address
9565 HIGHWAY 78 BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11970
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2613
—
SC
Enumeration date
03/27/2006
Last updated
08/29/2023
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