Individual
DR. THOMPSON EMBLETON PEARCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 PENNSYLVANIA AVE, STE 110, CHARLESTON, WV 25302-3302
(304) 344-2241
(304) 344-9562
Mailing address
830 PENNSYLVANIA AVE, STE 110, CHARLESTON, WV 25302-3389
(304) 344-2241
(304) 344-9562
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
10963
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712052
BLUE CROSS
—
05
—
0094068000
—
WV
01
—
160042604
UNITED
—
01
—
525489
MAMSI
—
01
—
P00229876
MEDICARE RAILROAD
—
Enumeration date
01/19/2006
Last updated
02/10/2010
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