Individual
ALLYSON J THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9267 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9139
(843) 797-3636
Mailing address
9267 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9139
(843) 797-3636
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD34272
SC
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
06/04/2006
Last updated
12/18/2019
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