Thompson, Willard D

Thompson, Willard D is an sole proprietor health care provider with primary practice located at 4 E Jackson Blvd , Savannah GA 31405-5810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Thompson, Willard D can be contacted via phone (912) 355-1010.

Contact Information

Primary practice address
4 E Jackson Blvd Savannah GA 31405-5810
Fax: (912) 354-1441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 054682 Georgia

Profile Details

NPI number 1265421309
LBN Legal business name Thompson, Willard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Mar 23rd, 2012 - about 13 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 1265421309 NPPES
Georgia MEDICAID 099728564A

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