Individual
AMY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 E 7TH ST UNIT A, CHARLOTTE, NC 28204-4398
(704) 998-0840
(043) 762-2167
Mailing address
PO BOX 63376, CHARLOTTE, NC 28263-3851
(704) 372-7900
(704) 376-2216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103675
NC
363A00000X
Physician Assistant
MPA4986PA
SC
Other
Enumeration date
07/18/2013
Last updated
01/16/2024
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