Individual
MR. RONALD T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
365 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1627
(770) 461-5003
(770) 461-4939
Mailing address
365 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1627
(770) 461-5003
(770) 461-4939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000283
GA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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