Individual
MR. EZELL THOMPSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 FOUR SEASONS BLVD, UNIT F, GREENSBORO, NC 27407-6078
(434) 429-3077
Mailing address
2711 FOUR SEASONS BLVD, UNIT F, GREENSBORO, NC 27407-6078
(434) 429-3077
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
263585
NC
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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