KEITH P. THOMPSON MD PC NPI 1770808420

NPI Information

NPI: 1770808420
Provider Name: KEITH P. THOMPSON MD PC
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
4505 ASHFORD DUNWOODY ROAD
SUITE 15
ATLANTA, GA
ZIP 30346
Phone: (678) 666-5076
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KEITH P. THOMPSON MD PC is an ophthalmologic surgery clinic center in Atlanta, GA. KEITH P. THOMPSON MD PC NPI is 1770808420. The provider is registered as an organization entity type.

The provider's business location address is:

4505 ASHFORD DUNWOODY ROAD
SUITE 15
ATLANTA, GA
ZIP 30346-516
Phone: (678) 666-5076
Fax: (678) 666-5076

The provider's authorized official is Keith P Thompson .
The authorized official title is Owner and has the following contact phone number (678) 666-5076.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 12/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	031339	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10636649	OTHER	GEORGIA	CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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