Individual
ADAM THADDEUS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 W WADE HAMPTON BLVD, GREER, SC 29650-1655
(864) 968-9244
Mailing address
202 BURDETTE ST, SPARTANBURG, SC 29307-1501
(864) 310-9253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3271
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
10/21/2019
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