Individual
DR. THOMAS F MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD STE LL9/10, COLUMBIA, SC 29203-6839
(803) 545-5700
(803) 434-6642
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18432
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T24355
—
SC
Enumeration date
04/14/2006
Last updated
09/11/2020
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