Individual
JOHN K THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6169 U S HIGHWAY 98, STE 30, HATTIESBURG, MS 39402-8634
(601) 336-8368
Mailing address
6169 U S HIGHWAY 98, STE 30, HATTIESBURG, MS 39402-8634
(601) 336-8368
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
19031
MS
2083P0901X
Public Health & General Preventive Medicine Physician
19031
MS
2086S0129X
Vascular Surgery Physician
19031
MS
208D00000X
General Practice Physician
Primary
19031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09006590
—
MS
01
—
3415028
AMERICAN ADMIN GROUP
MS
Enumeration date
08/30/2006
Last updated
04/27/2022
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