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Individual

DR. THOMAS JOSEPH MIRABILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1031 HIGHWAY 41, STE 400, MT PLEASANT, SC 29466-9320
(843) 388-1888
(843) 856-9643
Mailing address
1031 HIGHWAY 41, STE 400, MT PLEASANT, SC 29466-9320
(843) 388-1888
(843) 856-9643

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1350
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D13509
SC
Enumeration date
04/18/2006
Last updated
12/04/2007
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