Individual
MR. CONNOR RANDALL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 COBB PLACE BLVD NW STE 230, KENNESAW, GA 30144-3684
(470) 648-3280
Mailing address
11 TABASCO CAT CT, CARTERSVILLE, GA 30120-2005
(770) 722-8227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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