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Individual

DR. JOSEPH D THOMPSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2093 HENRY TECKLENBURG DR, STE 201, CHARLESTON, SC 29414
(843) 958-2500
(843) 958-2635
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1651
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5111
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
5111
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051115
SC
01
P00615384
RAILROAD MEDICARE
SC
01
P00843990
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
08/29/2006
Last updated
10/20/2015
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