Individual
MRS. ANGELA MARIE RUNION-THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BOB WHITE LN, ANDERSON, SC 29625-5717
(864) 760-3866
Mailing address
1900 WHITEHALL RD, ANDERSON, SC 29625-5131
(864) 760-3866
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3906
SC
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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