Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2015-02149 | NC |
NPI | 1144541475 |
---|---|
Provider Name | Christopher Michael Thompson |
First Address | Raleigh, NC 27607-6372 |
Second Address | Raleigh, NC 27607-6372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 23/10/2015 |