Individual
THOMAS FREDERICK ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST STE 4014, SPARTANBURG, SC 29303-3040
(864) 560-6818
(864) 560-7352
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
13989
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139898
—
SC
01
—
SC24923365
MEDICARE PIN
SC
01
—
SC24924862
MEDICARE PIN
SC
01
—
SC24925019
MEDICARE PIN
SC
Enumeration date
05/16/2006
Last updated
11/17/2020
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