Individual
MR. LEE ADAM THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Mailing address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-001042
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8926140
—
VA
05
—
8926158
—
VA
Enumeration date
12/05/2005
Last updated
08/26/2014
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