Individual
SAMANTHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 7TH AVE S FL 2, BIRMINGHAM, AL 35233-1711
(205) 638-6235
(205) 638-5242
Mailing address
3609 DABNEY DR, VESTAVIA, AL 35243-4622
(205) 919-0398
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-143915
AL
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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