Individual
GERALDINE E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS IN REHAB COU
Contact information
Practice address
5573 CAROLINA HIGHWAY, DENMARK, SC 29042
(803) 793-4274
(803) 793-4275
Mailing address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
03/17/2008
Last updated
03/17/2008
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