Individual
TERRELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 WEST HIGHWAY 52, LAKE CITY, SC 29560
(843) 394-7626
Mailing address
2222 W PICCADILLY DR, FLORENCE, SC 29501-6156
(843) 616-0730
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1506
SC
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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