Individual
MATTHEW N THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 608-2511
(803) 796-8924
Mailing address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 608-2511
(803) 796-8924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-00124
NC
207RG0100X
Gastroenterology Physician
Primary
36132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142R6
BCBS OF NC
NC
Enumeration date
07/03/2006
Last updated
09/25/2013
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