Individual
THOMISA L. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9005 TWO NOTCH RD STE 31, COLUMBIA, SC 29223-5850
(803) 661-9642
Mailing address
1 SWEET KNOLL CT, COLUMBIA, SC 29229-9415
(803) 622-3813
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-0700
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1627
—
SC
Enumeration date
01/22/2018
Last updated
01/22/2018
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