Individual
SHAWN D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
912 INLET SQUARE DR STE B, MURRELLS INLET, SC 29576-7812
(843) 299-2485
(843) 299-2486
Mailing address
11947 GRANDHAVEN DR STE M, MURRELLS INLET, SC 29576-7862
(843) 299-2485
(843) 299-2486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1676
SC
152WC0802X
Corneal and Contact Management Optometrist
1676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100915892
—
PA
05
—
D16766
—
SC
Enumeration date
08/09/2005
Last updated
10/16/2024
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