Healthcare Provider Details

I. General information

NPI: 1356320071
Provider Name (Legal Business Name): AARON DELANO THOMPSON JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 FAIRGROVE CHURCH RD SE STE 102
CONOVER NC
28613-8680
US

IV. Provider business mailing address

711 FAIRGROVE CHURCH RD SE STE 102
CONOVER NC
28613-8680
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-8485
  • Fax: 828-322-5039
Mailing address:
  • Phone: 828-322-8485
  • Fax: 828-322-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number94-01070
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: