Individual
ROBERT GORDON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1035 CHERAW HWY, TRI COUNTY COMMUNITY MENTAL HEALTH, BENNETTSVILLE, SC 29512
(843) 454-0841
(843) 454-0635
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 454-0841
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
08/31/2006
Last updated
07/08/2007
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