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Individual

GEORGE R THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 W MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010
Mailing address
320 W MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-1664

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14406
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000446111
BLUE CROSS BLUE SHIELD
WV
01
110048099
RAILROAD PTAN
WV
Enumeration date
06/08/2006
Last updated
09/27/2013
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