Individual
DR. BRIAN CALDWELL THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
853 NORTH CHURCH STREET, SUITE 500, SPARTANBURG, SC 29303-3077
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31160
SC
208600000X
Surgery Physician
LL31160
SC
2086S0102X
Surgical Critical Care Physician
P6535
TX
2086S0127X
Trauma Surgery Physician
P6535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311601
—
SC
01
—
P01367357
RAILROAD MEDICARE
SC
Enumeration date
07/02/2008
Last updated
01/05/2021
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