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Thomas C. Kickham, DO
General Practice Physician in Walhalla, South Carolina
NPI 1669434437

Thomas C. Kickham is a General Practice Physician based in Anderson, SC. Thomas C. Kickham practices in Walhalla, SC and has the professional credentials of DO. The NPI Number for Thomas C. Kickham is 1669434437 and holds a License No. 241 (South Carolina).

The current practice location address for Thomas C. Kickham is 200 Booker Dr, Walhalla, SC and can be reached out via phone at 864-656-3076 and via fax at 843-985-9562.

Location: 200 Booker Dr, Walhalla, SC, 29621-5708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669434437
Provider Name
Thomas C. Kickham
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
200 Booker Dr, Walhalla, SC, 29621-5708
Phone Number
864-656-3076
Fax Number
843-985-9562
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000925306A 05 GA
002419 05 SC
89066G1 05 NC
institution
Provider Business Practice Location Address Details
Address
200 Booker Dr
City
Walhalla
State
South Carolina
Zip
29691-2278
Phone Number
864-656-3076
Fax Number
843-985-9562
person
Provider Business Mailing Address Details
Address
200 Booker Dr
City
Walhalla
State
South Carolina
Zip
29691-2278
Phone Number
864-656-3076
Fax Number
843-985-9562
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
241 (South Carolina)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
241 (South Carolina)
Definition
Definition to come...
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