Individual
THOMAS A PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY STE 401B, LAFAYETTE, LA 70508-7265
(337) 470-4978
(337) 470-4238
Mailing address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406
(843) 847-3225
(843) 847-3247
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
021911
LA
2084N0400X
Neurology Physician
23118
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T74087
—
SC
Enumeration date
07/11/2005
Last updated
10/25/2021
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