Individual
TIMOTHY DANIEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 COLONIAL CIR STE A, JAMESTOWN, TN 38556-3924
(931) 879-9936
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 520-4466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49638
TN
Other
Enumeration date
07/20/2011
Last updated
09/06/2023
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