Individual
BRIAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4115 COLUMBIA RD, MARTINEZ, GA 30907-0405
(706) 863-9645
Mailing address
4115 COLUMBIA RD, MARTINEZ, GA 30907-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15647
GA
183500000X
Pharmacist
6675
SC
183500000X
Pharmacist
9972
NC
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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