Individual
JOEL R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 82ND PKWY, STE 3, MYRTLE BEACH, SC 29572-4610
(843) 449-3381
(843) 839-0275
Mailing address
945 82ND PKWY, STE 3, MYRTLE BEACH, SC 29572-4610
(843) 449-3381
(843) 839-0275
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9102
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091028
—
SC
Enumeration date
10/03/2005
Last updated
02/09/2010
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