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NPI Code Detail

MEDICARE: DR. JAMES J THOMY M.D.

MEDICARE: DR. JAMES J THOMY M.D.
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
1207Q00000XFamily Medicine Physician7970SC

General Provider Information

NPI Number : 1376649004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES J THOMY M.D.
Provider Business Mailing Address
First Line : 258 N RON MCNAIR BLVD
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-2462
Country : US
Telephone Number : 843-374-2036
Fax Number : 843-374-5111
Provider Business Practice Location Address
First Line : 258 N RON MCNAIR BLVD
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-2462
Country : US
Telephone Number : 843-374-2036
Fax Number : 843-374-5111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/09/2007

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Directions to “ DR. JAMES J THOMY M.D.” Practice Location

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