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Individual

GEORGE THOMPSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4150 V ST, SUITE G500, SACRAMENTO, CA 95817-1460
(916) 734-3741
(530) 752-8692
Mailing address
4150 V ST, SUITE G500, SACRAMENTO, CA 95817-1460
(916) 734-3741
(530) 752-8692

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M3765
TX
207RI0200X
Infectious Disease Physician
Primary
A109280
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186059501
TX
Enumeration date
08/24/2006
Last updated
10/26/2011
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