Individual
DONOVAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 LATROBE DR, CHARLOTTE, NC 28211-4849
(704) 376-7362
Mailing address
3101 LATROBE DR, CHARLOTTE, NC 28211-4849
(704) 376-7362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37576
OK
207P00000X
Emergency Medicine Physician
Primary
9700780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910558
—
NC
05
—
N00780
—
SC
Enumeration date
07/14/2006
Last updated
03/17/2022
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