Individual
ASHLEY A. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 CARLTON STREET, ATHENS, GA 30602-1503
(706) 542-8638
(706) 583-0217
Mailing address
55 CARLTON STREET, ATHENS, GA 30602-1503
(706) 542-8638
(706) 583-0217
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
066830
GA
2084P0800X
Psychiatry Physician
Primary
066830
GA
2084P0800X
Psychiatry Physician
47481-020
WI
208D00000X
General Practice Physician
47481-020
WI
Other
Enumeration date
09/26/2006
Last updated
12/22/2011
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