Individual
CHADWICK V. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 W LOWMAN ST, MULLINS, SC 29574-3107
(843) 464-4000
(843) 464-4017
Mailing address
119 W LOWMAN ST, MULLINS, SC 29574-3107
(843) 464-4000
(843) 464-4017
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
061174
GA
208600000X
Surgery Physician
Primary
23582
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235828
—
SC
05
—
482266381F
—
GA
01
—
HOSP60
MEDICARE GROUP
GA
Enumeration date
06/06/2006
Last updated
04/25/2016
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