Provider Demographics
NPI:1356320071
Name:THOMPSON, AARON DELANO JR (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:DELANO
Last Name:THOMPSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:711 FAIRGROVE CHURCH RD SE STE 102
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-8680
Mailing Address - Country:US
Mailing Address - Phone:828-322-8485
Mailing Address - Fax:828-322-5039
Practice Address - Street 1:711 FAIRGROVE CHURCH RD SE STE 102
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8680
Practice Address - Country:US
Practice Address - Phone:828-322-8485
Practice Address - Fax:828-322-5039
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94-01070208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8982804Medicaid
NC8982804Medicaid
2202255AMedicare PIN