Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5111 | SC |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 5111 | SC |
NPI | 1083723837 |
---|---|
Provider Name | Dr. Joseph D Thompson JR. |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 20/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051115 | (05) | SC |
C61080 | (02) | |
P00615384 | RAILROAD MEDICARE (01) | SC |
P00843990 | RAILROAD MEDICARE ID-RSFPN (01) | SC |