Provider Demographics
NPI:1164867842
Name:THOMPSON, PEYTON JESSIE (MD)
Entity Type:Individual
Prefix:
First Name:PEYTON
Middle Name:JESSIE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:PEYTON
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:038 MACNIDER HALL CB 7231 UNC SCHOOL OF MEDICINE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-445-0854
Mailing Address - Fax:919-966-7277
Practice Address - Street 1:PEDIATIRC EDUCATION OFFICE CLB # 7593
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-6669
Practice Address - Fax:919-966-7490
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11648678422080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases