Individual
THOMAS BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
15429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL4742
—
SC
Enumeration date
08/19/2006
Last updated
10/08/2020
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