Individual
AMANDA RENE THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8091 RIVERS AVENUE, NORTH CHARLESTON, SC 29406
(843) 572-7000
Mailing address
8091 RIVERS AVENUE, NORTH CHARLESTON, SC 29406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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