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Contact Information

TERRELL THOMAS
900 WEST HIGHWAY 52
LAKE CITY, SC29560
 Phone: 843-394-7626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for TERRELL THOMAS · (Male)

NPI # 1801682414
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2025
Last updated 04/18/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 1506
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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