Individual
BRIAN MARSHALL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PATEWOOD DR, SUITE B350, GREENVILLE, SC 29615-3593
(864) 454-4500
(864) 454-4505
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD 33826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066466
—
TN
05
—
338263
—
SC
01
—
64011158
UNISYS
KY
01
—
7024
MEDICARE
KY
Enumeration date
06/23/2006
Last updated
09/04/2013
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