MEDICARE: JAMIE LYNN THOMPSON PHARMD

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
1	1835P1200X	Pharmacotherapy Pharmacist	022477	GA

General Provider Information

NPI Number	:	1023009719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LYNN THOMPSON PHARMD

Provider Business Mailing Address
First Line	:	8400 VETERANS PKWY
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-2416
Country	:	US
Telephone Number	:	706-321-9751
Fax Number	:	706-321-3751

Provider Business Practice Location Address
First Line	:	2100 COMER AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8725
Country	:	US
Telephone Number	:	706-321-3772
Fax Number	:	706-321-3751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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