Provider Demographics
NPI:1780812974
Name:THOMPSON, ROBERT KYLE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KYLE
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3137 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-8210
Mailing Address - Country:US
Mailing Address - Phone:770-219-8400
Mailing Address - Fax:
Practice Address - Street 1:200 S ENOTA DR NE
Practice Address - Street 2:SUITE 380
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3473
Practice Address - Country:US
Practice Address - Phone:770-219-4000
Practice Address - Fax:770-219-4001
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA74608208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)