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Individual

PAUL E. THOMPSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 BOARDWALK PL, SUITE 1A, SENECA, SC 29678-2671
(264) 228-5933
(264) 225-9404
Mailing address
PO BOX 2020, SENECA, SC 29679-2020
(864) 882-5933
(864) 885-9404

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16369
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0707
SC
Enumeration date
05/31/2006
Last updated
03/01/2012
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