Individual
DR. HERMAN ORA THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 HENDERSON ST, SUITE C, COLUMBIA, SC 29201
(803) 765-2600
(803) 799-6434
Mailing address
1730 HENDERSON ST, SUITE C, COLUMBIA, SC 29201
(803) 765-2600
(803) 799-6434
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9101
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300320
CCP
—
05
—
TL 9856
—
SC
Enumeration date
07/11/2006
Last updated
07/08/2007
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