Individual
DR. STEPHANIE GAIL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E LUKE AVE, SUMMERVILLE, SC 29483-6834
(843) 851-0079
(843) 873-1002
Mailing address
201 E LUKE AVE, SUMMERVILLE, SC 29483-6834
(843) 851-0079
(843) 873-1002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20173
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20173
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201739
—
SC
Enumeration date
12/27/2006
Last updated
11/16/2012
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