John K. Thompson DO
General Practice Physician in Hattiesburg, MS(View on Map)
Full Name
John K Thompson DO
NPI Number
1962511212
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/30/2006
Specialties
(Taxonomies)Name
Code
208D00000X
204D00000X
2083P0901X
2086S0129X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Mississippi
License Number
19031
Contact
Information
Purpose
Mailing
Location
Address
6169 U S HIGHWAY 98
6169 U S HIGHWAY 98
City
Hattiesburg
Hattiesburg
State
MS
MS
Postal Code
39402-8634
39402-8634
Country
US
US
Telephone Number
(601) 336-8368
(601) 336-8368
Identifiers
Identifier
09006590
3415028
Identifier State
MS
MS
Identifier Issuer
Unknown
AMERICAN ADMIN GROUP
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
kthompson2150@directpatientrecord.com
Endpoint Description
Unknown
Use
Health Information Exchange (HIE)
Content Type
Unknown
Affiliation
N
Endpoint Location
415 S 28th AveHattiesburg, MS394017246US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/27/2022
Provider Address
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