Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 050273 | GA |
N | 111NI0900X | Internist | 050273 | GA |
N | 207RI0200X | Infectious Disease | 050273 | GA |
NPI | 1083727655 |
---|---|
Provider Name | Michael C Thigpen |
First Address | Atlanta, GA 30333 |
Second Address | Atlanta, GA 30333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |