Individual
CARRIE MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
96 JONATHAN LUCUS STREET, CSB HE320E, CHARLESTON, SC 29425
(843) 792-2528
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-2528
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
SC
Other
Enumeration date
08/19/2013
Last updated
11/11/2020
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