Individual
TRAVIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7578
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD87502
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
06/17/2019
Last updated
07/21/2022
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