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Individual

MR. THOMAS O'NEAL CUSHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1209 N FANT ST, ANDERSON, SC 29621-4821
(864) 353-3384
(864) 222-9715
Mailing address
1209 N FANT ST, ANDERSON, SC 29621-4821
(864) 353-3384
(864) 222-9715

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29990
SC

Other

Enumeration date
02/18/2025
Last updated
10/30/2025
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