Individual
SAMUEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867
(334) 732-3022
Mailing address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867
(334) 732-3022
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1533
AL
207X00000X
Orthopaedic Surgery Physician
77126
GA
207X00000X
Orthopaedic Surgery Physician
83009
SC
207X00000X
Orthopaedic Surgery Physician
Primary
OS16472
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
11/19/2019
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