Individual
CORRIE DANIELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 655-5890
Mailing address
300 W END CT, MURRELLS INLET, SC 29576-7054
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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