# NEWBERRY INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992880330
- **Authorized official:** MR. JOHN M THOMPSON MD (MD)
- **Authorized official phone:** (803) 276-5188

## Contact information

- **Practice address:** 2033 MEDICAL PARK DRIVE, NEWBERRY, SC 29108
- **Practice address phone:** (803) 276-5188
- **Practice address fax:** (803) 276-9317
- **Mailing address:** 2033 MEDICAL PARK DRIVE, NEWBERRY, SC 29108
- **Mailing address phone:** (803) 276-5188
- **Mailing address fax:** (803) 276-9317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 10491 | SC | Yes |
| 207R00000X | Internal Medicine Physician | 17777 | SC | — |
| 207R00000X | Internal Medicine Physician | 25874 | SC | — |
| 207R00000X | Internal Medicine Physician | 7471 | SC | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020