Individual
BENJAMIN WOLF THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 510, COLUMBIA, SC 29203-6854
(803) 296-2726
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL39435
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
39435
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394353
—
SC
Enumeration date
06/08/2016
Last updated
05/09/2022
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