Individual
LACHELSIE NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1064 GARDNER RD STE 105-106, CHARLESTON, SC 29407-5768
(854) 429-1175
(843) 695-9467
Mailing address
1315 ASHLEY RIVER RD, CHARLESTON, SC 29407-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11782
NC
363A00000X
Physician Assistant
Primary
4133
SC
Other
Enumeration date
09/24/2021
Last updated
07/22/2025
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