person
Mr. Thomas O Fort, PA
Medical Physician Assistant in Andrews, South Carolina
NPI 1144207382

Thomas O Fort is a Medical Physician Assistant based in Murrells Inlet, SC and is specialized in Medical. Thomas O Fort practices in Andrews, SC and has the professional credentials of PA. The NPI Number for Thomas O Fort is 1144207382 and holds a License No. 780 (South Carolina).

The current practice location address for Thomas O Fort is 701 S Morgan Ave, Andrews, SC and can be reached out via phone at 843-264-5253 and via fax at 843-264-5970.

Location: 701 S Morgan Ave, Andrews, SC, 29576-1209
person
Provider Profile Details
NPI Number
1144207382
Provider Name
Thomas O Fort
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
701 S Morgan Ave, Andrews, SC, 29576-1209
Phone Number
843-264-5253
Fax Number
843-264-5970
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHC068 05 SC
institution
Provider Business Practice Location Address Details
Address
701 S Morgan Ave
City
State
Zip
29510-2959
Phone Number
843-264-5253
Fax Number
843-264-5970
person
Provider Business Mailing Address Details
Address
701 S Morgan Ave
City
State
Zip
29510-2959
Phone Number
843-264-5253
Fax Number
843-264-5970
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
780 (South Carolina)
Definition
Definition to come...
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