Organization
THOMAS PR RIVERS, MD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PR RIVERS MD (SURGEON)
(843) 853-9658
Entity
Organization
Contact information
Practice address
2 LENWOOD BLVD, CHARLESTON, SC 29401
(843) 853-9658
(843) 853-9658
Mailing address
2 LENWOOD BLVD, CHARLESTON, SC 29401
(843) 853-9658
(843) 853-9658
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4582
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045828
—
SC
Enumeration date
05/04/2007
Last updated
10/16/2007
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