Individual
MR. MICHAEL CLEVELAND THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5915 NORTHRIDGE RD, COLUMBIA, SC 29206-4335
(803) 315-3737
Mailing address
5915 NORTHRIDGE RD, COLUMBIA, SC 29206-4335
(803) 315-3737
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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