Individual
IMA S THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7688
(404) 803-3033
Mailing address
1841 WALNUT GROVE LN, TUCKER, GA 30084-5945
(404) 803-3033
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
74404
GA
Other
Enumeration date
06/18/2009
Last updated
10/23/2015
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