Individual
THOMAS PAUL MARCOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 882-3351
(864) 885-7619
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN2122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1413
—
SC
Enumeration date
11/29/2005
Last updated
06/15/2015
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