Individual
CHARLES ARMISTEAD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214 N FANT ST STE B, ANDERSON, SC 29621-4822
(864) 540-8025
(864) 540-8027
Mailing address
PO BOX 4145, ANDERSON, SC 29622-4145
(864) 540-8025
(864) 540-8027
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17521
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175214
—
SC
05
—
701180308C
—
GA
01
—
8607
MEDICARE GROUP NUMBER
SC
01
—
P00944916
RR MEDICIARE
SC
Enumeration date
05/26/2005
Last updated
09/16/2022
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