Individual
CLIFFORD T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 DEEP SOUTH FARM RD, BLAIRSVILLE, GA 30512-2220
(706) 781-6950
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68323
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020027339
RR MEDICARE
FL
05
—
377958100
—
FL
Enumeration date
12/20/2005
Last updated
03/03/2023
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