Individual
LEE WALTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 MOBILE INFIRMARY CIR, SUITE 305, MOBILE, AL 36607-3520
(251) 433-5557
(251) 433-5558
Mailing address
3 MOBILE INFIRMARY CIR, SUITE 305, MOBILE, AL 36607-3520
(251) 433-5557
(251) 433-5558
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
24560
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00126562
MISSISSIPPI MEDICAID
MS
05
—
009986440
—
AL
01
—
051507487
BCBS OF ALABAMA
AL
Enumeration date
04/26/2006
Last updated
02/09/2012
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