Individual
MATTHEW ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9709 REDSTONE DR, INDIAN LAND, SC 29707-5402
(704) 667-5350
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36690
SC
Other
Enumeration date
04/19/2011
Last updated
09/25/2025
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