Individual
DR. G THOMAS NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 ROBERTS STREET, CAMDEN, SC 29020
(803) 432-4311
Mailing address
23 ROYALGATE DR, COLUMBIA, SC 29223-5802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17366
SC
208M00000X
Hospitalist Physician
Primary
17366
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080151770
MEDICARE RR ID#
SC
05
—
T14552
—
SC
Enumeration date
01/03/2006
Last updated
05/22/2016
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