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Individual

ROBERT SCOTT THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2712 MIDDLEBURG DR STE 206, COLUMBIA, SC 29204-2415
(803) 348-7433
Mailing address
3019 STEPP DR, COLUMBIA, SC 29204-3633
(171) 790-3936

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS008731L
PA
207Q00000X
Family Medicine Physician
Primary
36644
SC
207Q00000X
Family Medicine Physician
OS008731L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001372027
HIGHMARK BS
PA
05
0015160850002
PA
05
0015160850004
PA
01
148609
UNISON
PA
01
1514927
GATEWAY
PA
01
50010854
CAPITAL BC
PA
01
73861
GEISINGER
PA
Enumeration date
08/31/2006
Last updated
05/26/2025
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