Individual
TIMOTHY FRANK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 HIGHWAY 15 N, PONTOTOC, MS 38863-1103
(662) 490-1985
(662) 490-1989
Mailing address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-7631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11446
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010274
—
MS
Enumeration date
02/22/2006
Last updated
01/09/2019
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