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Individual

THEODORE THOMPSON

Active
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Individual

THEODORE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38948
TN
207R00000X
Internal Medicine Physician
0101055839
VA
207R00000X
Internal Medicine Physician
Primary
MD38948
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3327207
TN
Enumeration date
06/10/2005
Last updated
06/04/2014
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