MEDICARE: DR. JEFFREY HALL 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
1	208600000X	Surgery Physician	20628	AL
2	2086S0129X	Vascular Surgery Physician	20628	AL

General Provider Information

NPI Number	:	1780607457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY HALL THOMPSON M.D.

Provider Business Mailing Address
First Line	:	317 MEDICAL CENTER DR SW
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3420
Country	:	US
Telephone Number	:	256-845-3336
Fax Number	:	256-845-3686

Provider Business Practice Location Address
First Line	:	317 MEDICAL CENTER DR SW
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3420
Country	:	US
Telephone Number	:	256-845-3336
Fax Number	:	256-845-3686

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. JEFFREY HALL THOMPSON M.D.” Practice Location

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