Provider Demographics
NPI:1508853342
Name:THOMPSON, CAROLYN CRUMP (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:CRUMP
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5307
Mailing Address - Country:US
Mailing Address - Phone:615-620-8647
Mailing Address - Fax:
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-341-0991
Practice Address - Fax:615-341-0994
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000029044207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3133696OtherBLUECROSS BLUE SHIELD TN
TN2180980OtherAETNA
TN6081862OtherBLUE CROSS BLUE SHIELD
TN7440363OtherUHC
TN3812252Medicare ID - Type Unspecified
TN103I1650Medicare PIN
TN7440363OtherUHC