Individual
MYRNA R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1981 J N PEASE PL STE 204, CHARLOTTE, NC 28262-4526
(704) 510-9800
Mailing address
3635 WHITEHILL DR, CHARLOTTE, NC 28269-9713
(704) 494-4147
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
98-010195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89133KK
—
NC
Enumeration date
12/11/2006
Last updated
03/07/2023
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