Individual
CECILIA GRACE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1774 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2136
(205) 759-2920
Mailing address
1828 2ND AVE NE, TUSCALOOSA, AL 35406-1965
(256) 483-8314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1444
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14446341
—
AL
Enumeration date
05/08/2019
Last updated
02/09/2022
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