Individual
DR. RAYMOND L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, RADIOLOGY DEPARTMENT, FLORENCE, SC 29506-2617
(843) 669-5162
(843) 667-4573
Mailing address
217 DOZIER BLVD, SUITE 100, FLORENCE, SC 29501-4090
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
5647
SC
2085B0100X
Body Imaging Physician
5647
SC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
5647
SC
2085N0700X
Neuroradiology Physician
5647
SC
2085N0904X
Nuclear Radiology Physician
5647
SC
2085P0229X
Pediatric Radiology Physician
5647
SC
2085R0001X
Radiation Oncology Physician
5647
SC
2085R0202X
Diagnostic Radiology Physician
Primary
5647
SC
2085R0203X
Therapeutic Radiology Physician
5647
SC
2085R0204X
Vascular & Interventional Radiology Physician
5647
SC
2085R0205X
Radiological Physics Physician
5647
SC
2085U0001X
Diagnostic Ultrasound Physician
5647
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056478
—
SC
01
—
06818
BCBS OF NC
NC
01
—
154758900
US DEPT OF LABOR
SC
01
—
300020866
RAILROAD MEDICARE
SC
01
—
31717
MEDCOST
SC
01
—
570525838
STANDARD TAX ID
SC
01
—
8906818
NC MEDICAID
NC
Enumeration date
09/30/2005
Last updated
11/22/2013
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