Individual
MRS. MEREDITH MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
101 WAR FIGHTER WAY, BLACK CREEK, GA 31308-5731
(912) 851-3277
Mailing address
101 WAR FIGHTER WAY, BLACK CREEK, GA 31308-5731
(912) 851-3277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008634
GA
Other
Enumeration date
08/10/2011
Last updated
06/27/2022
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