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NPI Code Detail

MEDICARE: DR. GARY W THOMAS MD

MEDICARE: DR. GARY W THOMAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician33470GA
2207RH0003XHematology & Oncology Physician14194SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00056823OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043218316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY W THOMAS MD
Provider Business Mailing Address
First Line : 45 HOSPITAL CENTER CMNS
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-2837
Country : US
Telephone Number : 843-689-2895
Fax Number : 843-689-9270
Provider Business Practice Location Address
First Line : 45 HOSPITAL CENTER CMNS
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-2837
Country : US
Telephone Number : 843-699-2895
Fax Number : 843-689-9270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 06/16/2020

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Directions to “ DR. GARY W THOMAS MD” Practice Location

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