Individual
SWETA JHA THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9021 BELLA VERDE CT, MYRTLE BEACH, SC 29579-5110
(843) 516-2024
(843) 796-1319
Mailing address
PO BOX 70157, MYRTLE BEACH, SC 29572-0021
(843) 516-2024
(843) 796-1319
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
89902
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
04/12/2024
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