Individual
DR. AYDRIAN LESHAWN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1795 DEVINNEY ROAD, YORK, SC 29745
(803) 818-5995
(803) 818-5985
Mailing address
161 BELLE FLOWER CT, SPARTANBURG, SC 29303-3359
(864) 583-0315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23006
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230066
—
SC
Enumeration date
12/07/2005
Last updated
04/21/2009
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