| NPI | 1992880330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M THOMPSON Md 803-276-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 10491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 7471) |
| 207R00000X Internal Medicine (Licence: SC 17777) | |
| 207R00000X Internal Medicine (Licence: SC 25874) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |