Thomas, Theresa

Thomas, Theresa is an individual health care provider with primary practice located at 1210 Chuck Dawley Blvd , Mount Pleasant SC 29464-4186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thomas, Theresa can be contacted via phone (843) 971-1955.

Contact Information

Primary practice address
1210 Chuck Dawley Blvd Mount Pleasant SC 29464-4186
Phone: (843) 971-1955
Fax: (843) 974-8044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17520 South Carolina

Profile Details

NPI number 1629033980
LBN Legal business name Thomas, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 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 1629033980 NPPES
South Carolina MEDICAID 175205

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