Wyatt W Thompson Jr. (NPI# 1316188659, PAC ID# 7719018415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316188659 |
| PAC ID by PECOS | 7719018415 |
| Professional Enrollment ID | I20100624000278 |
| Full Name | Wyatt W Thompson Jr. |
| Organization Legal Name | MED MART MEDICAL ASSOCIATES PLLC |
| Address |
7212 Gb Alford Hwy Holly Springs NC 27540-7661 |
| Phone Number | 9195521520 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749359180 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7212 Gb Alford Hwy, Holly Springs, NC 27540-7661 | 9195521520 | MED MART MEDICAL ASSOCIATES PLLC |
| 4450 Fayetteville Rd, Raleigh, NC 27603-3612 | 9195723154 | MED MART MEDICAL ASSOCIATES PLLC |
| Organization Legal Name | MED MART MEDICAL ASSOCIATES PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley Kenney | Physician Assistant | Med Mart Medical Associates Pllc | 7212 Gb Alford Hwy, Holly Springs, NC 27540-7661 |
| Street Address |
7212 GB ALFORD HWY |
| City | HOLLY SPRINGS |
| State | NC |
| Zip | 27540-7661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley Kenney | Physician Assistant | Med Mart Medical Associates Pllc | 7212 Gb Alford Hwy, Holly Springs, NC 27540-7661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Matthieu | Clinical Social Worker | Avance Care Pa | 1108 Kentworth Dr, Holly Springs, NC 27540-3325 |
| Edwin Bernabe | Nurse Practitioner | Avance Care Pa | 1108 Kentworth Dr, Suite 704, Holly Springs, NC 27540-3325 |
| Chad N Anderson | Chiropractic | 2108 Werrington Dr, Holly Springs, NC 27540-3330 | |
| James D Reynolds Jr. | Optometry | Rs Eye Care, Od, Pa | 5237 Sunset Lake Rd, Holly Springs, NC 27540-3793 |
| Samreen W Azeem | Family Medicine | 5233 Sunset Lake Rd, Holly Springs, NC 27540-3793 | |
| Gregory J Stockbridge | Optometry | Rs Eye Care, Od, Pa | 5237 Sunset Lake Rd, Holly Springs, NC 27540-3793 |
| Stephanie L Whitacre | Optometry | Rs Eye Care, Od, Pa | 5237 Sunset Lake Rd, Holly Springs, NC 27540-3793 |
| Charlotte Brown Mancil | Physical Therapy | Agilitas Usa Inc | 112 Grand Hill Pl, Holly Springs, NC 27540-4416 |
| Tara Lynn Darling | Physical Therapy | Agilitas Usa Inc | 112 Grand Hill Pl, Holly Springs, NC 27540-4416 |
| Matthew Grayson Medlin | Physical Therapy | Agilitas Usa Inc | 112 Grand Hill Pl, Holly Springs, NC 27540-4416 |
| Find all physicians in zip 27540 | |||
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HOLLY SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Wyatt W Thompson Jr..
| 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.