Individual
JOULIA MIKHAILOVNA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-7140
(478) 633-5002
Mailing address
2490 RIVERSIDE DR, STE B, MACON, GA 31204-1787
(478) 633-6633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005077
GA
Other
Enumeration date
06/27/2011
Last updated
03/17/2016
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