Individual
MINDY DAWN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 N HOWARD AVE, LANDRUM, SC 29356-1507
(864) 457-3838
(864) 457-4159
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19479
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3268
—
SC
01
—
SCF9735121
MEDICARE PIN
SC
Enumeration date
06/12/2015
Last updated
01/05/2021
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