Individual
TERRY L THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5959 PARK AVE, RADIOLOGY DEPARTMENT, MEMPHIS, TN 38119-5200
(901) 765-3212
(901) 765-3212
Mailing address
PO BOX 171206, MEMPHIS, TN 38187-1206
(901) 765-3212
(901) 765-3212
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD007745
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115949
—
MS
05
—
3036174
—
TN
Enumeration date
06/02/2006
Last updated
07/08/2007
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