Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME139919 | FL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MT204280 | PA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME139919 | FL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD187020 | OR |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME139919 | FL |
NPI | 1417393216 |
---|---|
Provider Name | William Walsh Thomas III |
First Address | Greenville, SC 29605 |
Second Address | Greenville, SC 29605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 26/08/2021 |