Individual
ROBERT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2113 SUMMERWOOD DR, MOUNT PLEASANT, SC 29466-9256
(843) 214-9579
Mailing address
2113 SUMMERWOOD DR, MOUNT PLEASANT, SC 29466-9256
(843) 214-9579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626106
TX
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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