Individual
MARQUIS TRE'SHAWN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2835 E. U.S. 76, SUITE 5, MULLINS, SC 29574
(843) 431-2712
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4182
SC
Other
Enumeration date
11/11/2021
Last updated
12/03/2021
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