Individual
DR. STANLEY CRAIG THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 349-4000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122616
—
MS
01
—
3159921
BLUE CROSS
TN
05
—
3828889
—
TN
Enumeration date
06/08/2006
Last updated
12/03/2007
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