MEDICARE: SCOTT WILLIAM THOMPSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	22065	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	204836403	OTHER	SC	TAX ID

General Provider Information

NPI Number	:	1922071281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT WILLIAM THOMPSON MD

Provider Business Mailing Address
First Line	:	2016 SUMTER ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2100
Country	:	US
Telephone Number	:	803-744-2700
Fax Number	:	803-744-7979

Provider Business Practice Location Address
First Line	:	2016 SUMTER ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2100
Country	:	US
Telephone Number	:	803-744-2700
Fax Number	:	803-744-7979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	04/28/2008

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Directions to “ SCOTT WILLIAM THOMPSON MD” Practice Location

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