Healthcare Provider Details

I. General information

NPI: 1295734861
Provider Name (Legal Business Name): W. H. THOMPSON, D.C., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 S LEWIS ST
TABOR CITY NC
28463-2316
US

IV. Provider business mailing address

404 S LEWIS ST
TABOR CITY NC
28463-2316
US

V. Phone/Fax

Practice location:
  • Phone: 910-653-3242
  • Fax: 910-653-2304
Mailing address:
  • Phone: 910-653-3242
  • Fax: 910-653-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1222
License Number StateNC

VIII. Authorized Official

Name: DR. WILLIAM HAL THOMPSON
Title or Position: CHIROPRACTOR/CORPORATE PRESIDENT
Credential: D.C.
Phone: 910-653-3242