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Individual

RICKY ALAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWTHORNE LANE, CHARLOTTE, NC 28204
(704) 384-4814
(704) 384-5770
Mailing address
200 HAWTHORNE LANE, CHARLOTTE, NC 28204
(704) 384-4814
(704) 384-5770

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9300342
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82837
BCBS
NC
05
8982837
NC
Enumeration date
04/07/2006
Last updated
10/11/2007
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