Provider Demographics
NPI:1043282213
Name:THOMPSON, DONALD FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FREDERICK
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:314 ROGOSIN DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-2904
Mailing Address - Country:US
Mailing Address - Phone:423-433-6630
Mailing Address - Fax:423-232-8574
Practice Address - Street 1:314 ROGOSIN DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2904
Practice Address - Country:US
Practice Address - Phone:423-433-6630
Practice Address - Fax:423-232-8574
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245618207Q00000X
WI68532-20207Q00000X
TXK2605207Q00000X
TN46619207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine