Individual
CHAD ALEXANDER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5500 FRONT ST # 260, SUMMERVILLE, SC 29486-7735
(843) 376-0670
(843) 376-0669
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 376-0670
(843) 376-0669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
829
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1047PA
—
SC
Enumeration date
02/02/2006
Last updated
06/10/2021
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