Individual
MRS. HEIDI HEIDI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 CAPEHART CIR, BEAUFORT, SC 29906-8550
(843) 540-0054
Mailing address
81 CAPEHART CIR, BEAUFORT, SC 29906-8550
(843) 540-0054
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
052366286
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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