Thompson, Jonathan Richard

Thompson, Jonathan Richard is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thompson, Jonathan Richard can be contacted via phone (706) 272-6282.

Contact Information

Primary practice address
1200 Memorial Dr Dalton GA 30720-2529
Phone: (706) 272-6282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 052646 Georgia

Profile Details

NPI number 1982635462
LBN Legal business name Thompson, Jonathan Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982635462 NPPES
Tennessee Other 4061474 BCBS OF TENNESSEE
Tennessee MEDICAID 027747593B BCBS OF TENNESSEE
Tennessee MEDICAID 027747593A BCBS OF TENNESSEE
Tennessee Other P00233185 BCBS OF TENNESSEE

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