Individual
TADD T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 D HWY 43 NORTH, MOUNT PLEASANT, TN 38474
(931) 964-0849
(931) 964-0852
Mailing address
4955 D HWY 43 NORTH, MOUNT PLEASANT, TN 38474
(931) 964-0849
(931) 964-0852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732438
—
TN
05
—
3863972
—
TN
01
—
4113803
BCBST
TN
Enumeration date
11/06/2006
Last updated
02/02/2015
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