SHANT THOMASSIAN

COLUMBIA, SC
NPI1902546807
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  LL88326)
Enumeration Date2022-03-30
Last Update Date2022-07-08
Business Address
SHANT THOMASSIAN
3209 COLONIAL DR
COLUMBIA, SC 29203-6930
Phone number: 803-434-2420
Mailing Address
SHANT THOMASSIAN
3209 COLONIAL DR
COLUMBIA, SC 29203-6930
Phone number:
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