Individual provider · Type 1 NPI

Grant Cole Thompson, PA

Surgical Physician Assistant · Kingsport, TN

NPI number 1760156277 Active

Practice location

2050 Meadowview Pkwy
Kingsport, TN 37660-7475

Call (423) 230-5000 Map

Mailing address

1256 Derick Private Dr
Blountville, TN 37617-5851

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1760156277

Grant Cole Thompson, PA's National Provider Identifier is 1760156277, issued on Aug 7, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kingsport, TN. The record was last updated on Aug 7, 2021.