Individual
CATHERINE A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 HALL ST, WIGGINS, MS 39577-2110
(601) 928-4412
(601) 928-4792
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 928-4412
(601) 928-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10745
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115764
—
MS
01
—
1558983
AMERICAN ADMIN GROUP
MS
Enumeration date
08/30/2006
Last updated
03/30/2009
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