Provider Demographics
NPI:1174550032
Name:THOMSON, GEORGE GRAHAM (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:GRAHAM
Last Name:THOMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GEORDIE
Other - Middle Name:GRAHAM
Other - Last Name:THOMSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1405
Mailing Address - Country:US
Mailing Address - Phone:603-924-3644
Mailing Address - Fax:
Practice Address - Street 1:174 CONCORD ST
Practice Address - Street 2:STE 280
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1222
Practice Address - Country:US
Practice Address - Phone:603-924-3644
Practice Address - Fax:603-924-7420
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8923208VP0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine