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1598480378
CARLY A THOMAS
CHARLESTON, SC
NPI
1598480378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: SC 26662)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
CARLY A THOMAS
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5834
Phone number: 843-573-2535
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Mailing Address
CARLY A THOMAS
47 DUNNEMANN AVE
CHARLESTON, SC 29403-3632
Phone number: 843-247-5627
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