Individual
DR. MELISSA D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-3680
(334) 613-3685
Mailing address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-3680
(334) 613-3685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21288
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055410
MEDICARE PROVIDER
AL
05
—
009934280
—
AL
01
—
051055410
BC BS OF ALABAMA
AL
01
—
051055410
BLUE CROSS BLUE SHIELD
—
01
—
080157843
RR MEDICARE
AL
Enumeration date
03/09/2006
Last updated
04/04/2008
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