Individual
DR. JOHN M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
99 N. MILL STREET, LITTLE MOUNTIAN, SC 29075
(803) 945-1005
(803) 948-0036
Mailing address
P.O. BOX 497, NEWBERRY, SC 29108
(803) 405-7558
(803) 405-7545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7471
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074715
—
SC
05
—
6190
—
SC
Enumeration date
08/04/2006
Last updated
11/29/2012
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