Thomas, Robert Gordon

Thomas, Robert Gordon is an individual health care provider with primary practice located at 1035 Cheraw Hwy Tri County Community Mental Health, Bennettsville SC 29512. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thomas, Robert Gordon can be contacted via phone (843) 454-0841.

Contact Information

Primary practice address
1035 Cheraw Hwy Tri County Community Mental Health Bennettsville SC 29512
Phone: (843) 454-0841
Fax: (843) 454-0635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1689786758
LBN Legal business name Thomas, Robert Gordon
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689786758 NPPES
South Carolina MEDICAID 405127

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