Individual
CARMEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2596
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4561
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
354
SC
Other
Enumeration date
07/07/2015
Last updated
08/03/2015
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