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Individual

MR. DAVID E THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Mailing address
645 S 7TH STREET, MCBEE, SC 29101
(843) 335-8291
(843) 335-8731

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3636
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1748
SC
Enumeration date
11/10/2008
Last updated
04/29/2013
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