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Individual
TERRY THOMPSON
Active
Individual
TERRY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101234752
VA
207Q00000X
Family Medicine Physician
0447995
KS
208M00000X
Hospitalist Physician
0101234752
VA
208M00000X
Hospitalist Physician
Primary
0447995
KS
208M00000X
Hospitalist Physician
DR.0062929
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010244722
—
VA
05
—
010256674
—
VA
01
—
188804
ANTHEM
—
01
—
423488
SOUTHERN HEALTH
—
01
—
6967829
CIGNA HEALTH CARE
—
Enumeration date
05/03/2006
Last updated
06/18/2024
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