Individual
MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
26313
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
26313
SC
Other
Enumeration date
11/11/2022
Last updated
05/28/2026
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