Provider Demographics
NPI:1831317387
Name:THRASHER, PATRICIA ANNE (MED)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANNE
Last Name:THRASHER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SHELTER COVE LN
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3520
Mailing Address - Country:US
Mailing Address - Phone:843-341-9369
Mailing Address - Fax:843-341-9331
Practice Address - Street 1:19 SHELTER COVE LN
Practice Address - Street 2:SUITE 204
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-3520
Practice Address - Country:US
Practice Address - Phone:843-341-9369
Practice Address - Fax:843-341-9331
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC41881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical