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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS O FORT, PA

Active

MR. THOMAS O FORT, PA is a Medical Physician Assistant healthcare provider located in ANDREWS, South Carolina. NPI 1144207382 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ANDREWS, SC

Registration Details

NPI Number
1144207382
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2005 (20.616344659759 yrs)
Last Updated
Jun 16, 2018
License
780 (SC)

Practice Information

Address
701 S MORGAN AVE
ANDREWS, SC, 295102959
Browse SC providers · Browse ZIP 29510
Phone
8432645253
Fax
8432645970
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.