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Individual

JAMES T. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
9901624
NC
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
9901624
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101259658
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
9901624
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5906326
NC
Enumeration date
08/17/2006
Last updated
08/15/2022
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