Thompson, Michael Clayton

Thompson, Michael Clayton is an individual health care provider with primary practice located at 902 N 7Th St , Cordele GA 31015-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thompson, Michael Clayton can be contacted via phone (229) 276-3100.

Contact Information

Primary practice address
902 N 7Th St Cordele GA 31015-3234
Phone: (229) 276-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036143244 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 054040 Georgia

Profile Details

NPI number 1184732521
LBN Legal business name Thompson, Michael Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Mar 4th, 2021 - about 4 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 1184732521 NPPES
Georgia MEDICAID 643347625C
Georgia MEDICAID 643347625D
Georgia MEDICAID 643347625A
Georgia MEDICAID 643347625B

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