Individual
DANIEL OTHA THOMPSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 POWHATAN CIR, SEWANEE, TN 37375-2419
(931) 598-0889
Mailing address
112 POWHATAN CIR, SEWANEE, TN 37375-2419
(931) 598-0889
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
E8961
TX
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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