Thompson, Keith P

Thompson, Keith P is an sole proprietor health care provider with primary practice located at 5582 Memorial Dr Ste 200 , Stone Mountain GA 30083-3215. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Thompson, Keith P can be contacted via phone (404) 513-9965.

Contact Information

Primary practice address
5582 Memorial Dr Ste 200 Stone Mountain GA 30083-3215
Phone: (404) 513-9965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 031339 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 031339 Georgia

Profile Details

NPI number 1245248590
LBN Legal business name Thompson, Keith P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 21st, 2022 - about 2 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 1245248590 NPPES
Georgia Other 10636649 CAQH

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