Individual
THOMAS T. MCCANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 DIANE DR, COLUMBIA, SC 29210-6607
(803) 772-1840
(803) 772-1840
Mailing address
2801 DIANE DR, COLUMBIA, SC 29210-6607
(803) 772-1840
(803) 772-1840
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
57-1101514
SC
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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