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Individual

PROF. DARREL W THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN 12088NP

Contact information

Practice address
100 COLLEGE STATION DR, MACON, GA 31206-5100
(478) 471-2783
Mailing address
100 COLLEGE STATION DR, MACON, GA 31206-5100
(478) 471-2783

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 12088NP
GA

Other

Enumeration date
02/26/2007
Last updated
08/13/2015
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