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Contact Information

PHIL THOMPSON, DO
342 MAGNOLIA DRIVE
RALEIGH, MS39153
 Phone: 601-782-9801
 Fax: 601-782-9955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PHIL THOMPSON · (Male)

NPI Number 1386705705
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/12/2006
Last updated 06/13/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 10521
  • MS Medicaid 00014663
  • MS Other 640699015 ACORDIA NATIONAL
  • MS Other 640699015 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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