Individual
GREGORY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BELK BLVD, OXFORD, MS 38655
(662) 232-8100
(662) 513-1496
Mailing address
3340 PLAYERS CLUB PKWY STE 350, MEMPHIS, TN 38125-8949
(901) 207-2032
(844) 752-2164
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21416
MS
207L00000X
Anesthesiology Physician
24465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125621
—
MS
05
—
127556001
—
AR
05
—
207821406
—
MO
01
—
3077001
BLUECROSS BLUESHIELD
TN
05
—
3077737
—
TN
01
—
50046030
MEDICARE RAILROAD
—
01
—
97195
BLUECROSS BLUESHIELD
AR
Enumeration date
12/22/2005
Last updated
06/08/2022
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