Individual
GREGORY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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