Provider Demographics
NPI:1306840004
Name:THOMPSON, WILLIAM C (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
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 1:2010 CHURCH ST
Mailing Address - Street 2:STE 710
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2068
Mailing Address - Country:US
Mailing Address - Phone:605-284-5098
Mailing Address - Fax:615-284-5385
Practice Address - Street 1:2010 CHURCH ST
Practice Address - Street 2:STE 710
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2068
Practice Address - Country:US
Practice Address - Phone:605-284-5098
Practice Address - Fax:615-284-5385
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13191207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3031198Medicare ID - Type Unspecified
TNA99492Medicare UPIN