Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 51942 | SC |
NPI | 1093031916 |
---|---|
Provider Name | Dr. Thomas Michael O'lynnger |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 14/08/2018 |