Individual
DR. JENNIFER E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(330) 493-4443
(330) 451-4032
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 451-4032
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
200200360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134TU
—
NC
05
—
N00362
—
SC
Enumeration date
01/18/2006
Last updated
02/09/2010
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