Thompson, Theron Wayne
Thompson, Theron Wayne is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thompson, Theron Wayne can be contacted via phone (706) 238-8073.Contact Information
Primary practice address
1825 Martha Berry Blvd Nw
Rome GA 30165-1625
Phone: (706) 238-8073
Fax: (706) 238-8081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 051772 | Georgia |
Profile Details
| NPI number | 1033185681 |
|---|---|
| LBN Legal business name | Thompson, Theron Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033185681 | NPPES |
| Georgia | MEDICAID | 000957052D |
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