Individual
JANIE MCKINNON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1115 WREN SCHOOL RD, PIEDMONT, SC 29673-8033
(864) 859-0740
(864) 859-9008
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2627
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2765PA
—
SC
Enumeration date
10/12/2016
Last updated
07/02/2021
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