Individual
KAREN W THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 WINGO WAY, SUITE 306, MT PLEASANT, SC 29464-1810
(843) 884-1777
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC18645
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110232040
RR MEDICARE
SC
05
—
186453
—
SC
01
—
P00775524
RAILROAD MEDICARE ID-EFFECTIVE 5/11/2009
SC
Enumeration date
05/16/2006
Last updated
10/19/2015
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