Individual
MS. MARIA CARMEN THOMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-6484
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
21112
SC
363LW0102X
Women's Health Nurse Practitioner
RN135792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875212C
—
GA
05
—
NP0855
—
SC
Enumeration date
10/11/2006
Last updated
01/18/2018
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