Individual
MISS PATRICIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 LAKE ERMA DR, HAMPTON, GA 30228-6087
(678) 549-3355
Mailing address
2807 HWY 138 LAKE SPIVEY, JONESBORO, GA 30228-6087
(678) 549-3355
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
COL-001805
GA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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