Corrie Danielle Thomas

NPI #1710491865 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1710491865
Entity Type: Individual
Name: Corrie Danielle Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: Nov 28, 2017
Last Updated: Nov 28, 2017

Practice Location

Address: 900 MEDICAL CIR
City: Myrtle Beach
State: South Carolina
ZIP Code: 29572-4114
Phone: (843) 655-5890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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