Provider Demographics
NPI:1235247743
Name:WILLIAM C. THOMPSON III, MD
Entity Type:Organization
Organization Name:WILLIAM C. THOMPSON III, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:828-465-0811
Mailing Address - Street 1:1803 5TH ST NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-5213
Mailing Address - Country:US
Mailing Address - Phone:828-465-0811
Mailing Address - Fax:828-465-0811
Practice Address - Street 1:1803 5TH ST NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5213
Practice Address - Country:US
Practice Address - Phone:828-465-0811
Practice Address - Fax:828-465-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25088207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC83211OtherBCBS
NC89-83211Medicaid
NCD27131Medicare UPIN
NC210955CMedicare ID - Type Unspecified