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Individual
THERMAN DANE PIERCE JR.
Active
Individual
THERMAN DANE PIERCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7855
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078551
—
SC
01
—
1581664
CIGNA ID
SC
01
—
4556604
AETNA ID
SC
01
—
571004971003
BCBS OF SC ID
SC
Enumeration date
06/09/2006
Last updated
08/30/2013
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