Individual
CARL W THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N SUMTER ST STE 202, SUMTER, SC 29150-4975
(803) 774-9797
(803) 933-3012
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32168
SC
207RC0000X
Cardiovascular Disease Physician
037711
GA
207RC0000X
Cardiovascular Disease Physician
Primary
32168
SC
207UN0901X
Nuclear Cardiology Physician
037711
GA
207UN0901X
Nuclear Cardiology Physician
32168
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000615337C
—
GA
01
—
AA66502603
MEDICARE PTAN
SC
05
—
G37711
—
SC
01
—
P00218467/CM0845
RAILROAD MEDICARE
GA
Enumeration date
09/02/2005
Last updated
01/12/2026
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