MR. Thomas O Fort, PA
NPI #1144207382 in Andrews, South Carolina
Provider Information
- NPI Number
- 1144207382
- Entity Type
- Individual
- Name
- MR. Thomas O Fort, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 701 S MORGAN AVE
- City
- Andrews
- State
- South Carolina
- ZIP Code
- 29510-2959
- Phone
- (843) 264-5253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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