Individual
EUN JEE C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 SERPENTINE DR, SPARTANBURG, SC 29303-3026
(864) 585-0218
Mailing address
17 SHADOW MIST DR, SIMPSONVILLE, SC 29681-1951
(864) 905-0580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22271
SC
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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