Individual
PRARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
850 FLOYD ROAD EXT, SPARTANBURG, SC 29307-1048
(864) 285-0574
(864) 285-0583
Mailing address
850 FLOYD ROAD EXT, SPARTANBURG, SC 29307-1048
(864) 285-0574
(864) 285-0583
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0115
SC
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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