Organization
CHARLESTOWN SURGICAL ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE EDWARD THOMAS M.D. (MEDICAL DOCTOR)
(812) 256-1111
Entity
Organization
Contact information
Practice address
2100 MARKET ST, SUITE 100, CHARLESTOWN, IN 47111-9535
(812) 256-1111
(812) 256-1112
Mailing address
2100 MARKET ST, SUITE 100, CHARLESTOWN, IN 47111-9535
(812) 256-1111
(812) 256-1112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01050752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941312
—
KY
Enumeration date
08/05/2006
Last updated
08/22/2020
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