Healthcare Provider Details

I. General information

NPI: 1568464709
Provider Name (Legal Business Name): THOMPSON FAMILY MEDICAL CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19144 US HIGHWAY 29
CHATHAM VA
24531-5253
US

IV. Provider business mailing address

19144 US HIGHWAY 29
CHATHAM VA
24531-5253
US

V. Phone/Fax

Practice location:
  • Phone: 434-432-0216
  • Fax:
Mailing address:
  • Phone: 434-432-0216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101014610
License Number StateVA

VIII. Authorized Official

Name: MARTHA FARMER ADKINS
Title or Position: OFFICE MANAGER
Credential:
Phone: 434-432-0216