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NPI Code Detail

MEDICARE: ALLAN HALE THOMPSON M.D.

MEDICARE: ALLAN HALE THOMPSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician11089MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15925007OTHERMSAETNA PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518901255
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN HALE THOMPSON M.D.
Provider Business Mailing Address
First Line : 1502 S COLORADO ST
Second Line :
City : GREENVILLE
State : MS
Zip : 38703-7219
Country : US
Telephone Number : 662-332-9872
Fax Number : 662-379-8164
Provider Business Practice Location Address
First Line : 1502 S COLORADO ST
Second Line :
City : GREENVILLE
State : MS
Zip : 38703-7219
Country : US
Telephone Number : 662-332-9872
Fax Number : 662-379-8164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 02/11/2008

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