Individual
DR. THOMAS A MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
1509 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 799-4878
(843) 799-4977
Mailing address
1509 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 799-4878
(843) 799-4977
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1223S0112X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z31760
—
SC
05
—
ZA9176
—
SC
Enumeration date
07/27/2006
Last updated
01/25/2017
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