Provider Demographics
NPI:1033370861
Name:THOMPSON, THOMAS PAYSON (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:PAYSON
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 MCCRIMMON PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8139
Mailing Address - Country:US
Mailing Address - Phone:919-655-1000
Mailing Address - Fax:919-655-1001
Practice Address - Street 1:6402 MCCRIMMON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560
Practice Address - Country:US
Practice Address - Phone:919-655-1000
Practice Address - Fax:919-655-1001
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01617207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine