Individual
MRS. LORI RABON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 N MAIN ST STE 9, SUMMERVILLE, SC 29483-6439
(843) 832-0041
Mailing address
123 SPRUCEWOOD DR, SAINT GEORGE, SC 29477-8828
(843) 563-5272
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
78886
SC
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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