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Organization

NEWBERRY INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M THOMPSON MD (MD)
(803) 276-5188
Entity
Organization

Contact information

Practice address
2033 MEDICAL PARK DRIVE, NEWBERRY, SC 29108
(803) 276-5188
(803) 276-9317
Mailing address
2033 MEDICAL PARK DRIVE, NEWBERRY, SC 29108
(803) 276-5188
(803) 276-9317

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10491
SC
207R00000X
Internal Medicine Physician
17777
SC
207R00000X
Internal Medicine Physician
25874
SC
207R00000X
Internal Medicine Physician
7471
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA4995
SC
Enumeration date
10/26/2006
Last updated
08/22/2020
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