Individual
THOMAS LANIER OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DRIVE, SUITE C300, GREENVILLE, SC 29615-3557
(864) 454-8272
(864) 454-2875
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10974
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109741
—
SC
01
—
4399257
AETNA ID
SC
01
—
576007863071
BCBS OF SC
SC
01
—
P00115378
RR MEDICARE
SC
Enumeration date
05/04/2006
Last updated
12/22/2022
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