Individual
MAUREEN LISA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(866) 389-2727
Mailing address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24651
SC
Other
Enumeration date
03/03/2021
Last updated
05/20/2026
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