Individual
DR. JILL ELLEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1574 UNION RD, GASTONIA, NC 28054-5633
(704) 865-9114
(704) 865-9115
Mailing address
4079 RIVER BIRCH DR, IRON STATION, NC 28080-8508
(704) 689-8714
(423) 353-4083
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
63046
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
9300608
NC
2085N0700X
Neuroradiology Physician
9300608
NC
208VP0014X
Interventional Pain Medicine Physician
9300608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983308
—
NC
05
—
N0060A
—
SC
Enumeration date
11/22/2005
Last updated
02/16/2026
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