Individual
SAMUEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 SCANLAN RD, DECATUR, MS 39327-9313
(601) 513-7545
Mailing address
535 SCANLAN RD, DECATUR, MS 39327-9313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
913239
MS
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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