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NPI Code Detail

MEDICARE: CARL THOMPSON DO

MEDICARE:   CARL  THOMPSON  DO
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
1208M00000XHospitalist Physician1705TN
2207R00000XInternal Medicine Physician2010-00194NC
3208M00000XHospitalist Physician2010-00194NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24106087OTHERTNBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
57334697OTHERTNAETNA
6P00241596OTHERTNPALMETTO GBA-RR MCR

General Provider Information

NPI Number : 1184602831
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL THOMPSON DO
Provider Business Mailing Address
First Line : 10820 PARKSIDE DR
Second Line : 2ND FLOOR
City : KNOXVILLE
State : TN
Zip : 37934-1956
Country : US
Telephone Number : 865-218-7972
Fax Number : 865-218-7973
Provider Business Practice Location Address
First Line : 10820 PARKSIDE DR
Second Line : 2ND FLOOR
City : KNOXVILLE
State : TN
Zip : 37934-1956
Country : US
Telephone Number : 865-218-7972
Fax Number : 865-218-7973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 07/10/2013

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1669449518 — ANESTHESIA CONSULTANTS OF KNOXVILLE, PC
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Directions to “ CARL THOMPSON DO” Practice Location

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