Individual
GABRIEL JOHN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 BIRCH ST, RAEFORD, NC 28376-3297
(910) 904-6600
(910) 904-1810
Mailing address
300 BIRCH ST, RAEFORD, NC 28376-3297
(910) 904-6600
(910) 904-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15291
NC
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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