Healthcare Provider Details

I. General information

NPI: 1881649028
Provider Name (Legal Business Name): ROBERT G THOMPSON II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 NIGHTINGALE LN
KNOXVILLE TN
37909-2754
US

IV. Provider business mailing address

6600 NIGHTINGALE LN
KNOXVILLE TN
37909-2754
US

V. Phone/Fax

Practice location:
  • Phone: 865-632-5885
  • Fax: 865-632-5893
Mailing address:
  • Phone: 865-632-5885
  • Fax: 865-632-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD13865
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: