Individual
WILLARD D THOMPSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 E JACKSON BLVD, SAVANNAH, GA 31405-5810
(912) 355-1010
(912) 354-1441
Mailing address
4 E JACKSON BLVD, SAVANNAH, GA 31405-5810
(912) 355-1010
(912) 354-1441
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
054682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099728564A
—
GA
Enumeration date
10/20/2005
Last updated
03/23/2012
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