Individual
CARL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10820 PARKSIDE DR, 2ND FLOOR, KNOXVILLE, TN 37934-1956
(865) 218-7972
(865) 218-7973
Mailing address
10820 PARKSIDE DR, 2ND FLOOR, KNOXVILLE, TN 37934-1956
(865) 218-7972
(865) 218-7973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-00194
NC
208M00000X
Hospitalist Physician
Primary
1705
TN
208M00000X
Hospitalist Physician
2010-00194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3718274
—
TN
01
—
4106087
BCBS
TN
05
—
5914677
—
NC
01
—
7334697
AETNA
TN
05
—
NC1127
—
SC
01
—
P00241596
PALMETTO GBA-RR MCR
TN
Enumeration date
01/04/2006
Last updated
07/10/2013
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