Individual
JASON THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 FOXBANK PLANTATION BLVD # C, MONCKS CORNER, SC 29461-6707
(843) 761-6485
Mailing address
102 BRICK PARK LN, GOOSE CREEK, SC 29445-7349
(205) 913-3721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2232
SC
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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