MEDICARE: AARON DELANO THOMPSON JR. MD

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	208600000X	Surgery Physician	94-01070	NC

General Provider Information

NPI Number	:	1356320071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON DELANO THOMPSON JR. MD

Provider Business Mailing Address
First Line	:	711 FAIRGROVE CHURCH RD SE STE 102
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8680
Country	:	US
Telephone Number	:	828-322-8485
Fax Number	:	828-322-5039

Provider Business Practice Location Address
First Line	:	711 FAIRGROVE CHURCH RD SE STE 102
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8680
Country	:	US
Telephone Number	:	828-322-8485
Fax Number	:	828-322-5039

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	07/25/2023

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