Individual
NICHOLAS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3394 E OGLETHORPE HWY, APT A, HINESVILLE, GA 31313-1421
(678) 618-0469
Mailing address
3394 E OGLETHORPE HWY, APT A, HINESVILLE, GA 31313-1421
(678) 618-0469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001868
GA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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