Individual
TAMIKA ANTOINETTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2569 SAINT PAUL DR SW, ATLANTA, GA 30331-9221
(678) 793-9551
Mailing address
2569 SAINT PAUL DR SW, ATLANTA, GA 30331-9221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN215979
GA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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