Individual
MS. CYNTHIA COCKRELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1333 TAYLOR ST, COLUMBIA, SC 29201-2953
(803) 256-0464
(803) 254-5121
Mailing address
470 HULON LN, WEST COLUMBIA, SC 29169-4841
(803) 256-0464
(803) 254-5121
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
APN2035
SC
363L00000X
Nurse Practitioner
2035
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
2035
SC
Other
Enumeration date
01/10/2006
Last updated
10/02/2020
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