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Individual

MR. JEREMY R THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 W MARKHAM ST STE 407, LITTLE ROCK, AR 72201-1844
(501) 319-4819
(501) 897-6195
Mailing address
1400 W MARKHAM ST STE 407, LITTLE ROCK, AR 72201-1844
(501) 319-4819
(501) 897-6195

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2006018429
MO
2084P0800X
Psychiatry Physician
Primary
E-5837
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183377001
AR
Enumeration date
10/02/2006
Last updated
11/28/2022
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