Doctor Name: | THOMAS REECE THOMPSON |
NPI Number: | 1104810589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD7143 |
Business Practice Address: | 400 E Tickle St Dyersburg, TN - 38024 |
Business Phone Number: | 7312852346 |
Business Fax Number: | 7312854717 |
Mailing Address: | Po Box 1296, DYERSBURG |
State: | TN |
Postal Code: | 380251296 |
Phone Number: | 7312852346 |
Fax Number: | 7312854717 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 01/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD7143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |