Individual
STEPHANIE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 MIMOSA DR FL 3, THOMASVILLE, GA 31792-6676
(229) 226-8881
(229) 584-5964
Mailing address
100 MIMOSA DR FL 3, THOMASVILLE, GA 31792-6676
(229) 226-8881
(229) 584-5964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005967
GA
Other
Enumeration date
11/12/2010
Last updated
09/16/2020
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