Basic Information
| Provider Information | |||||||||
| NPI: | 1528546702 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMASON | ||||||||
| FirstName: | CHELSEA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 E GREENVILLE ST STE 2500 | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296211728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645127748 | ||||||||
| FaxNumber: | 8642241109 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 E GREENVILLE ST STE 2500 | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296211728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645127748 | ||||||||
| FaxNumber: | 8642241109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2018 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 22092 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.