Individual
TAMMY LAURELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 BRIDGE VIEW DR, NORTH CHARLESTON, SC 29405-7488
(843) 532-0408
Mailing address
1301 DISCOVERY DR, LADSON, SC 29456-3039
(843) 532-0408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67231
SC
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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