Individual
MICHAEL CLAYTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
Mailing address
416 E 4TH AVE STE A, CORDELE, GA 31015-3729
(229) 273-9050
(229) 273-1518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036143244
IL
208600000X
Surgery Physician
Primary
054040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
643347625A
—
GA
05
—
643347625B
—
GA
05
—
643347625C
—
GA
05
—
643347625D
—
GA
Enumeration date
08/27/2006
Last updated
03/04/2021
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