Robert Hicks Thompson (NPI# 1831258136, PAC ID# 6002073335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1831258136 |
PAC ID by PECOS | 6002073335 |
Professional Enrollment ID | I20120130000076 |
Full Name | Robert Hicks Thompson |
Organization Legal Name | PARKWOOD MEDICAL CENTER |
Address |
2400 Parkwood Dr B Brunswick GA 31520-4768 |
Phone Number | 9122651000 |
Gender | M |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1947 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3971743444 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
Address | Phone | Organization |
---|---|---|
2400 Parkwood Dr, Suite B, Brunswick, GA 31520-4721 | 9122651000 | |
2400 Parkwood Dr, Brunswick, GA 31520-4721 | 9122651000 | |
2400 Parkwood Dr B, Brunswick, GA 31520-4768 | 9122651000 | PARKWOOD MEDICAL CENTER |
Organization Legal Name | PARKWOOD MEDICAL CENTER |
Physicians | 1 |
Street Address |
2400 PARKWOOD DR B |
City | BRUNSWICK |
State | GA |
Zip | 31520-4768 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory D Martin | General Surgery | 650 Scranton Rd, Suite C, Brunswick, GA 31520-1927 | |
Kerry E Moore | Nurse Practitioner | Heller Family Medicine LLC | 664 Scranton Rd, Brunswick, GA 31520-1946 |
Richard P Mcewan | Family Medicine | 160 Juniper Court, Suite 101, Brunswick, GA 31520-1952 | |
Sonya D Roland | Physical Therapy | 216 Harrison Ln, Brunswick, GA 31520-1959 | |
Yoshi T Graham | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Dana Morgan | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Stephanie R Chapman | Psychiatry | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Gregory C Claxton | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Megan J Woolwine | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Peri M Kyriacos | Clinical Social Worker | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Find all physicians in zip 31520 |
City | BRUNSWICK |
Zip Code | 31520 |
Specialty | FAMILY PRACTICE |
City + Specialty | BRUNSWICK + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.