Individual
DR. THOMAS J SEREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 5140, ANDERSON, SC 29621-1580
(864) 716-6100
(864) 716-6120
Mailing address
2000 E GREENVILLE ST, SUITE 5140, ANDERSON, SC 29621-1580
(864) 716-6100
(864) 716-6120
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
32930
KY
208800000X
Urology Physician
Primary
36493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364939
—
SC
05
—
64329303
—
KY
01
—
P01472100
RR MEDICARE
SC
Enumeration date
07/05/2005
Last updated
07/28/2015
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