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NPI Code Detail

MEDICARE: ALLISON HARRIS THOMPSON M.D.

MEDICARE: ALLISON HARRIS THOMPSON M.D.
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
12085R0202XDiagnostic Radiology Physician076193GA

General Provider Information

NPI Number : 1699064733
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON HARRIS THOMPSON M.D.
Provider Business Mailing Address
First Line : 4700 WATERS AVE
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-6220
Country : US
Telephone Number : 912-350-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4700 WATERS AVE
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-6220
Country : US
Telephone Number : 912-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 02/06/2026

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