Individual
THOMAS W LARREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, CSB 301 MSC 606, CHARLESTON, SC 29425-8900
(843) 876-5053
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-7700
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01093848A
IN
207T00000X
Neurological Surgery Physician
Primary
LL39594
SC
Other
Enumeration date
06/18/2016
Last updated
06/13/2024
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