Dr. Timothy Luke Thompson, M.D.
Otolaryngology in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1578747390
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1578747390
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Luke Thompson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2007
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 21438 | MS | Yes |
| 174400000X | Specialist | MD.201055 | LA |
Practice location
1605 S 28th AveHattiesburg, MS 39402-3110
Phone 601-579-3310 · Fax 601-264-0231
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-579-3310 · Fax 601-579-5240
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