Individual
MRS. CAROL A THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N /N.T/ D.M. NUR
Contact information
Practice address
1735 CONVERSE DR, FLORENCE, SC 29501-6568
(843) 621-0249
Mailing address
1735 CONVERSE DR, FLORENCE, SC 29501-6568
(843) 621-0249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PR22121
SC
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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