Individual
DONNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 FAISON DR, COLUMBIA, SC 29203-3218
(803) 898-8405
Mailing address
P.O. BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
49763
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0866
—
SC
Enumeration date
06/27/2006
Last updated
07/07/2010
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