Individual
DR. JOSEPH L THOMPSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 EXECUTIVE PARK DR, CLINTON, TN 37716-6876
(865) 494-9241
(865) 494-2522
Mailing address
110 EXECUTIVE PARK DR, CLINTON, TN 37716-6876
(865) 494-9241
(865) 494-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000017049
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080011135
RAILROAD MEDICARE
TN
05
—
3021288
—
TN
01
—
70060
BLUE CROSS
TN
05
—
Q023729
—
TN
Enumeration date
10/05/2005
Last updated
02/13/2017
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