Individual
MAHELET THORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 KILLIAN RD, COLUMBIA, SC 29203-9742
(803) 814-0102
Mailing address
1200 NETWORK CENTRE DR, EFFINGHAM, IL 62401-4602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17167
MD
122300000X
Dentist
Primary
9267
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2018
Last updated
03/11/2024
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