Individual
MR. THOMSD LAMAR WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 BERRY RIDGE CIR, COLUMBIA, SC 29229-9620
(803) 736-8436
Mailing address
304 BERRY RIDGE CIR, COLUMBIA, SC 29229-9620
(803) 736-8436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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