Organization
FLORENCE RADIOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND L THOMAS MD (PRESIDENT)
(843) 669-5162
Entity
Organization
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 26869, GREENVILLE, SC 29616-1869
(800) 707-7961
(865) 766-8868
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
SC
2085N0700X
Neuroradiology Physician
—
SC
2085N0904X
Nuclear Radiology Physician
—
SC
2085P0229X
Pediatric Radiology Physician
—
SC
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
2085R0204X
Vascular & Interventional Radiology Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901567
—
NC
01
—
CA5357
RAILROAD MEDICARE
SC
05
—
PA0748
—
SC
Enumeration date
09/29/2005
Last updated
11/14/2011
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