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TYLER MICHAEL THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 484-6700
Mailing address
10594 HARVEST OAKS DR, COLLIERVILLE, TN 38017-9462
(731) 343-1694

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000203021
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
124359
TN
367500000X
Certified Registered Nurse Anesthetist
APN0000026407
TN

Other

Enumeration date
01/06/2019
Last updated
06/16/2021
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