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NPI Code Detail

MEDICARE: MRS. PATRICIA ANNE THRASHER MED

MEDICARE:  MRS. PATRICIA ANNE THRASHER  MED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker4188SC

General Provider Information

NPI Number : 1831317387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANNE THRASHER MED
Provider Business Mailing Address
First Line : 19 SHELTER COVE LN
Second Line : SUITE 204
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-3520
Country : US
Telephone Number : 843-341-9369
Fax Number : 843-341-9331
Provider Business Practice Location Address
First Line : 19 SHELTER COVE LN
Second Line : SUITE 204
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-3520
Country : US
Telephone Number : 843-341-9369
Fax Number : 843-341-9331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. PATRICIA ANNE THRASHER MED” Practice Location

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