Individual
MATTHEW BRIAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
Mailing address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5006699
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5006699
NC
Other
Enumeration date
01/13/2014
Last updated
04/16/2020
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