Individual
DR. THOMAS FUNCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 JOHNNIE DODDS BLVD UNIT 101, MOUNT PLEASANT, SC 29464-3285
(843) 884-3277
(843) 884-6992
Mailing address
2671 BRICKSIDE LN, MOUNT PLEASANT, SC 29466-7180
(843) 884-3277
(843) 884-6992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15088
SC
Other
Enumeration date
01/05/2007
Last updated
03/25/2021
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