Individual
CAMERON THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP
Contact information
Practice address
115 N SUMTER ST STE 410, SUMTER, SC 29150
(803) 774-9000
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20880
SC
363LG0600X
Gerontology Nurse Practitioner
20880
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4529
—
SC
01
—
SCA4449988
MEDICARE
SC
Enumeration date
03/29/2017
Last updated
06/30/2021
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