Individual
LINDA SUSAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10204
SC
1223G0001X
General Practice Dentistry
Primary
14463
NC
Other
Enumeration date
03/30/2022
Last updated
08/22/2025
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