Individual
DEANNA MATHIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
Mailing address
158 HILL AVE, ASHBURN, GA 31714-5179
(229) 520-1048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN236308
GA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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