Organization
SOUTH CAROLINA CANCER SPECIALIST, P.A.
Active
Other names
Gary W Thomas MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTA P LEE (NETWORK CREDENTIALING COORDINATOR)
(912) 819-2146
Entity
Organization
Contact information
Practice address
45 HOSPITAL CENTER CMNS STE 200, HILTON HEAD ISLAND, SC 29926-2837
(843) 689-2895
(843) 689-9270
Mailing address
836 E 65TH ST STE 22, SAVANNAH, GA 31405-4493
(912) 819-2146
(912) 819-3320
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
14194
SC
261QX0200X
Oncology Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225377
NCPDP
SC
01
—
DA3698
RAILROAD MEDICARE GROUP
SC
05
—
GP3117
—
SC
05
—
GP9576
—
SC
Enumeration date
07/20/2005
Last updated
12/12/2025
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