Provider Demographics
NPI:1922752989
Name:THOMPSON, BRITANY NICOLE (HAS)
Entity Type:Individual
Prefix:
First Name:BRITANY
Middle Name:NICOLE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RICHLAND MEDICAL PARK DR STE 130
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6850
Mailing Address - Country:US
Mailing Address - Phone:803-765-1919
Mailing Address - Fax:803-849-8875
Practice Address - Street 1:3 RICHLAND MEDICAL PARK DR STE 130
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6850
Practice Address - Country:US
Practice Address - Phone:803-765-1919
Practice Address - Fax:803-849-8875
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0713237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist