Individual
SHAWANA SUITT THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COTTONSEED WAY, DURHAM, NC 27703-9821
(919) 599-3251
Mailing address
415 COTTONSEED WAY, DURHAM, NC 27703-9821
(919) 599-3251
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C-42899
NC
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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