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Individual

SCOTT WILLIAM THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2016 SUMTER ST, COLUMBIA, SC 29201-2100
(803) 744-2700
(803) 744-7979
Mailing address
2016 SUMTER ST, COLUMBIA, SC 29201-2100
(803) 744-2700
(803) 744-7979

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22065
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204836403
TAX ID
SC
05
220656
SC
Enumeration date
02/08/2006
Last updated
04/28/2008
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