Individual
DR. ROBERT FULTON THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 SOUTH GLOSTER STREET, TUPELO, MS 38801
(662) 377-4394
(662) 377-7045
Mailing address
PO BOX 3294, TUPELO, MS 38803
(662) 377-4394
(662) 377-7045
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11790
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
11790
MS
207R00000X
Internal Medicine Physician
11790
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112860
—
MS
Enumeration date
07/12/2006
Last updated
02/06/2013
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