Individual
STEPHEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2816 JIM ST, TUPELO, MS 38801-6763
(662) 231-5519
Mailing address
PO BOX 361, TUPELO, MS 38802-0361
(662) 231-5519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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