Individual
JONATHAN RICHARD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 MEMORIAL DR STE G2, DALTON, GA 30720-8662
(706) 529-3245
Mailing address
1107 MEMORIAL DR STE G2, DALTON, GA 30720-8662
(706) 529-3245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027747593A
—
GA
05
—
027747593B
—
GA
01
—
4061474
BCBS OF TENNESSEE
TN
01
—
P00233185
RAILROAD MEDICARE
GA
Enumeration date
07/05/2006
Last updated
05/07/2026
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