Individual
ANTONIA THOMPSON GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 SEDWICK RD STE 200A, DURHAM, NC 27713-4335
(919) 630-0623
Mailing address
8133 WAKE RD, DURHAM, NC 27713-9531
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
12/10/2019
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