Individual
THOMAS B EISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2755 S HIGHWAY 14, SUITE 1200L, GREER, SC 29650-4902
(864) 849-9150
(864) 849-9394
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5524
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
5524
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055246
—
SC
01
—
C607877628
MEDICARE PIN
SC
Enumeration date
08/22/2005
Last updated
12/24/2020
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