Individual
CHRISTOPHER REID THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 BUTTERNUT DR STE B, GREENVILLE, SC 29605-4653
(864) 672-7272
(864) 672-7582
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
104225
NC
207RH0003X
Hematology & Oncology Physician
2004-00168
NC
207RH0003X
Hematology & Oncology Physician
Primary
37407
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104225
NC STATE LICENSE
NC
01
—
1831202480
VIRGINIA MEDICAID
VA
01
—
200506
MEDCOST
NC
05
—
374072
—
SC
05
—
5905263
—
NC
01
—
6301698
CIGNA
NC
Enumeration date
08/17/2006
Last updated
05/12/2021
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